Individual
JULIA VLADA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
420 QUAKER RD, QUEENSBURY, NY 12804-1535
(518) 347-9177
(518) 240-4648
Mailing address
420 QUAKER RD, QUEENSBURY, NY 12804-1535
(518) 347-9177
(518) 240-4648
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
633667
NY
2084P0800X
Psychiatry Physician
402235
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000429302001
BLUE SHIELD OF NORTHEASTERN NY
NY
Enumeration date
04/27/2011
Last updated
04/28/2026
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