Provider Demographics
NPI:1962776138
Name:VIEIRA, JULIO R (MD, MS)
Entity type:Individual
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First Name:JULIO
Middle Name:R
Last Name:VIEIRA
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Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:365 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-5151
Mailing Address - Country:US
Mailing Address - Phone:845-331-5165
Mailing Address - Fax:845-331-6238
Practice Address - Street 1:365 BROADWAY
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-5151
Practice Address - Country:US
Practice Address - Phone:845-331-5165
Practice Address - Fax:845-331-6238
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2016-12-10
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Provider Licenses
StateLicense IDTaxonomies
NY2808692084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology