Provider Demographics
NPI:1275375479
Name:CONNIFF, JULIA L
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:L
Last Name:CONNIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 ROYAL CT UNIT 3008
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2632
Mailing Address - Country:US
Mailing Address - Phone:516-448-4640
Mailing Address - Fax:
Practice Address - Street 1:2 DUBON CT
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-1008
Practice Address - Country:US
Practice Address - Phone:631-561-9952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist