Provider Demographics
NPI:1699403451
Name:JULIA DAVIDOV INC
Entity type:Organization
Organization Name:JULIA DAVIDOV INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:YULIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVYDOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-740-6807
Mailing Address - Street 1:659 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4279
Mailing Address - Country:US
Mailing Address - Phone:212-532-4747
Mailing Address - Fax:347-333-4523
Practice Address - Street 1:659 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4279
Practice Address - Country:US
Practice Address - Phone:212-532-4747
Practice Address - Fax:347-333-4523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies