Julia Basher

Individual provider Active NPI Licensed Practical Nurse · Franklin Square, NY

NPI 1770176497 · NPPES record last updated Feb 13, 2021

Key facts

NPI
1770176497
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
202464 (NY)
Practice address
37 James St
Franklin Square, NY 11010-2409
Phone
(516) 939-5317
Fax
(866) 292-0084
NPI assigned
Feb 13, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
202464NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 202464 NY Yes

Addresses

Primary practice location

37 James St
Franklin Square, NY 11010-2409

Mailing address

37 James St
Franklin Square, NY 11010-2409
Phone (516) 939-5317

Other providers in Franklin Square, NY

All providers in Franklin Square, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.