Basic Information
| Provider Information | |||||||||
| NPI: | 1922278910 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JULIUS SHULMAN MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 229 E 79TH ST | ||||||||
| Address2: | SUITE 1L | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100750866 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2128616200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 229 E 79TH ST | ||||||||
| Address2: | SUITE 1L | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100750866 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2128616200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2008 | ||||||||
| LastUpdateDate: | 10/24/2008 | ||||||||
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| AuthorizedOfficialLastName: | SHULMAN | ||||||||
| AuthorizedOfficialFirstName: | JULIUS | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2128616200 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 107626 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
ID Information
| ID | Type | State | Issuer | Description | 970151 | 01 | NY | LEGACY NUMBER | OTHER |