National Provider Identifier
Julie Pathammavong
Julie Pathammavong is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 697-1557.
Profile Overview
- NPI
- 1952663247
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 12, 2012
- Last Updated
- June 12, 2012
Practice Location
- 1870 Winton RD S
- Rochester, NY 14618-3960
Phone: (585) 697-1557
Mailing Address
- 1045 James St
- Syracuse, NY 13203-2730
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1952663247
- Entity Type
- Individual
- Last Name
- Pathammavong
- First Name
- Julie
- Mailing Street Address
- 1045 James St
- Mailing City
- Syracuse
- Mailing State
- NY
- Mailing ZIP Code
- 13203-2730
- Mailing Country
- US
- Mailing Phone
- (315) 425-1004
- Practice Street Address
- 1870 Winton RD S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-3960
- Practice Country
- US
- Practice Phone
- (585) 697-1557
- Enumeration Date
- June 12, 2012
- Last Updated
- June 12, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)