Provider Demographics
NPI:1154553949
Name:MINOIA, JULIA IRENE (NP)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:IRENE
Last Name:MINOIA
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:421 MONTGOMERY STREET
Mailing Address - Street 2:ROOM 80 BASEMENT
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202
Mailing Address - Country:US
Mailing Address - Phone:315-435-3236
Mailing Address - Fax:315-435-3884
Practice Address - Street 1:421 MONTGOMERY STREET
Practice Address - Street 2:ROOM 80 BASEMENT
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202
Practice Address - Country:US
Practice Address - Phone:315-435-3236
Practice Address - Fax:315-435-3884
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF360083-1363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health