Julie Fosdick, PA

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

023145 Issued in NY

Practice address

601B W Washington St
Geneva, NY 14456-2119

Phone

(315) 781-8448

Fax

(315) 781-8444

NPI assigned

Nov 1, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467964239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601B W WASHINGTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562119",
            "telephone_number": "315-781-8448",
            "fax_number": "315-781-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601B W WASHINGTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562119",
            "telephone_number": "315-781-8448",
            "fax_number": "315-781-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 W Union St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131365",
            "country_code": "US",
            "telephone_number": "315-573-7577",
            "fax_number": "315-573-7577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7150 Main St",
            "address_purpose": "LOCATION",
            "city": "Ovid",
            "state": "NY",
            "postal_code": "145219401",
            "country_code": "US",
            "telephone_number": "607-403-0065",
            "fax_number": "607-403-0065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Main St",
            "address_purpose": "LOCATION",
            "city": "Penn Yan",
            "state": "NY",
            "postal_code": "145271204",
            "country_code": "US",
            "telephone_number": "315-536-2752",
            "fax_number": "315-536-2752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6692 Middle Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Sodus",
            "state": "NY",
            "postal_code": "145519602",
            "country_code": "US",
            "telephone_number": "315-483-1199",
            "fax_number": "315-483-1199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Main St",
            "address_purpose": "LOCATION",
            "city": "Port Byron",
            "state": "NY",
            "postal_code": "131401314",
            "country_code": "US",
            "telephone_number": "315-776-9700",
            "fax_number": "315-776-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSDICK",
        "first_name": "JULIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "023145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Geneva, NY
• Providers in Geneva, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.