Provider Demographics
NPI:1427465764
Name:GODZIKOVSKAYA, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:GODZIKOVSKAYA
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 1:315 MONTGOMERY ST
Mailing Address - Street 2:2ND FL.
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-1856
Mailing Address - Country:US
Mailing Address - Phone:415-474-7310
Mailing Address - Fax:415-931-0972
Practice Address - Street 1:315 MONTGOMERY ST
Practice Address - Street 2:2ND FL.
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-1856
Practice Address - Country:US
Practice Address - Phone:415-474-7310
Practice Address - Fax:415-931-0972
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist