National Provider Identifier

Julie Mooney, MS/ED

Julie Mooney, MS/ED is listed in the NPPES registry with a primary specialty of Specialist in Lackawanna, NY and a listed phone number of (716) 825-8644.

NPI 1770988602Lackawanna, NYSpecialist

Profile Overview

NPI
1770988602
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
November 04, 2014
Last Updated
November 04, 2014

Practice Location

  • 1025 Ridge RD
  • Lackawanna, NY 14218-1755

Phone: (716) 825-8644

Mailing Address

  • 790 Ridge RD
  • Lackawanna, NY 14218-1629

Specialties

  • Specialist (174400000X)
Full Record
NPI
1770988602
Entity Type
Individual
Last Name
Mooney
First Name
Julie
Credential
MS/ED
Mailing Street Address
790 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1629
Mailing Country
US
Mailing Phone
(716) 825-8644
Practice Street Address
1025 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1755
Practice Country
US
Practice Phone
(716) 825-8644
Enumeration Date
November 04, 2014
Last Updated
November 04, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)