Basic Information
Provider Information
NPI: 1477991396
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REFKIN
FirstName: JULIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ADVANTAGECARE PHYSICIANS, PC
Address2: 55 WATER STREET 12TH FLOOR CRED DEPT
City: NEW YORK
State: NY
PostalCode: 100410004
CountryCode: US
TelephoneNumber: 6466804227
FaxNumber: 5165425556
Practice Location
Address1: 2832 LINDEN BLVD
Address2: ADVANTAGECARE PHYSICIANS, PC - LINDENWOOD
City: BROOKLYN
State: NY
PostalCode: 11208
CountryCode: US
TelephoneNumber: 7182402000
FaxNumber: 5165425556
Other Information
ProviderEnumerationDate: 06/13/2013
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X285661NCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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