JULIA LYNN WALDORF (NPI# 1346854023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346854023 |
| Entity Type | Individual |
| Full Name | JULIA LYNN WALDORF |
| Practice Address |
141 Benmosche Road Monticello NY 12701 |
| Mailing Address |
2170 County Road 28 Canandaigua NY 14424-8015 |
| Practice Telephone | 8457941400 |
| Mailing Telephone | 5853621204 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
141 BENMOSCHE ROAD |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262885 | Kara Goldin | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| 1871863522 | James P Sullivan | Physical Therapy Assistant | 507 Benmosche Rd, Monticello, NY 12701 | 2012-01-11 |
| Find all providers in zip 12701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589324 | Amanda Taylor Dickinson | Student in an Organized Health Care Education/Training Program | 1013 Hart Blvd Ste 1, Monticello, MN 55362-8575 | 2018-08-23 |
| 1588262885 | Kara Goldin | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-10-09 |
| 1073127981 | Mara Resnick | Student in an Organized Health Care Education/Training Program | 22 Saint John St, Monticello, NY 12701-2118 | 2020-09-08 |
| 1255695177 | Susan E Rogers | Student in an Organized Health Care Education/Training Program | 504 Southwoods Dr, Monticello, NY 12701-7231 | 2012-06-25 |
| 1104189505 | Kaitlin C Swiat | Student in an Organized Health Care Education/Training Program | 641 Old Route 17, Monticello, NY 12701-7014 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124986 | Khyati Zala | Student in an Organized Health Care Education/Training Program | 143 South Dr, New Hyde Park, NY 11040-2232 | 2020-11-06 |
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1063013936 | Kenneth Yang | Student in an Organized Health Care Education/Training Program | 30 Rover Ln, Hicksville, NY 11801-6253 | 2020-11-05 |
| 1770184061 | Talia Regina Stagnitta | Student in an Organized Health Care Education/Training Program | 134 Shaber Rd, Patchogue, NY 11772-2429 | 2020-11-04 |
| 1316548605 | Caitlin Hitsous Fitzpatrick | Student in an Organized Health Care Education/Training Program | 18 Hampton Ct, Port Washington, NY 11050-3021 | 2020-11-04 |
| 1538760814 | Adam Paul Tamburello | Student in an Organized Health Care Education/Training Program | 4 Foothill Ln, East Northport, NY 11731-4107 | 2020-11-04 |
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1255932539 | Jordan Taylor Rucks | Student in an Organized Health Care Education/Training Program | 17 Hollingsworth Pl, Centereach, NY 11720-2111 | 2020-11-04 |
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
Please comment or provide details below to improve the information on JULIA LYNN WALDORF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.