Provider Demographics
NPI:1104258128
Name:MCLAUGHLIN, JULIETH FAYE (NP)
Entity type:Individual
Prefix:MISS
First Name:JULIETH
Middle Name:FAYE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:572 E 85TH ST
Mailing Address - Street 2:FIRST FL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3249
Mailing Address - Country:US
Mailing Address - Phone:718-219-2935
Mailing Address - Fax:718-270-7201
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2054
Practice Address - Country:US
Practice Address - Phone:718-270-3118
Practice Address - Fax:718-270-7201
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335407-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily