Individual
JULIE BAKALOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, MS
Contact information
Practice address
177 MAIN ST, SUITE 201, HUNTINGTON, NY 11743-6917
(631) 423-1056
(516) 868-9579
Mailing address
2629 MERRICK AVE, MERRICK, NY 11566-4636
(516) 868-9665
(516) 868-9579
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000489
NY
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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