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.

NPI 1952663247Rochester, NYSpecialist

Source: public NPPES record, last updated June 12, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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Biography

The NPPES record for Julie Pathammavong lists Specialist as the primary taxonomy and Rochester, NY as the practice location.

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
Taxonomies
Specialist (174400000X)