Individual
JULIA CHRYSTLE MILITAR JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
1000 10TH AVE FL 4, NEW YORK, NY 10019-1147
(518) 791-0153
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
315154
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/18/2017
Last updated
02/16/2023
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