Most Relevant Information
Provider Data
| NPI Number: | 1003538414 |
| Provider Name: | JULIE ANN HENRY |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2022 |
| Last Updated: | 09/13/2022 |
Provider Practice Location
18 BROAD ST
JOHNSON CITY
NY
137902198
Practice Location Phone/Fax
| Phone: | 6077987117 |
| Fax: |
Provider Mailing Location
18 BROAD ST
JOHNSON CITY
NY
137902198
Provider Mailing Phone/Fax
| Phone: | 6077987117 |
| Fax: |