Basic Information
Provider Information
NPI: 1427144401
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAPATA
FirstName: JULIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 120 BENNETT AVE
Address2: APT 1L
City: NEW YORK
State: NY
PostalCode: 100332318
CountryCode: US
TelephoneNumber: 2015672277
FaxNumber: 2015677506
Practice Location
Address1: 427 FORT WASHINGTON AVE # W1A
Address2:  
City: NEW YORK
State: NY
PostalCode: 100333505
CountryCode: US
TelephoneNumber: 9176004627
FaxNumber: 8669176627
Other Information
ProviderEnumerationDate: 10/05/2006
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X40QA00922300NJN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X025422NYY193400000X SINGLE SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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