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Ms. Julie Imwalle, MSECSEECECSECE
Specialist in Ronkonkoma, New York
NPI 1821429549

Julie Imwalle is a Specialist based in Ronkonkoma, NY. Julie Imwalle practices in Ronkonkoma, NY and has the professional credentials of MSECSEECECSECE. The NPI Number for Julie Imwalle is 1821429549 and holds a License No. 939497 (New York).

The current practice location address for Julie Imwalle is 15 Ricky Rd, Ronkonkoma, NY and can be reached out via phone at 631-553-9939.

Location: 15 Ricky Rd, Ronkonkoma, NY, 11779-5017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821429549
Provider Name
Julie Imwalle
Credential
MSECSEECECSECE
Provider Entity Type
Individual
Gender
Female
Address
15 Ricky Rd, Ronkonkoma, NY, 11779-5017
Phone Number
631-553-9939
Fax Number
Provider Enumeration Date
12/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 Ricky Rd
City
Ronkonkoma
State
New York
Zip
11779-5017
Phone Number
631-553-9939
Fax Number
person
Provider Business Mailing Address Details
Address
15 Ricky Rd
City
Ronkonkoma
State
New York
Zip
11779-5017
Phone Number
631-553-9939
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
939497 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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