Provider Demographics
NPI:1063560498
Name:JULIANA, JOSEPH (MSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:JULIANA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PHILIP LANE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11953-2689
Mailing Address - Country:US
Mailing Address - Phone:631-914-1870
Mailing Address - Fax:
Practice Address - Street 1:144 LAKE AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729
Practice Address - Country:US
Practice Address - Phone:516-978-7349
Practice Address - Fax:631-667-1708
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO1349311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY46025OtherUNITED BEH HEALTH
NY7400449OtherGHI
NYP3W3210OtherOXFORD
NY070400OtherVALUE OPTIONS
NYR013493OtherHIP