Provider Demographics
NPI:1487699260
Name:OWEIS, JULIA YVONNE (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:YVONNE
Last Name:OWEIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-0097
Mailing Address - Country:US
Mailing Address - Phone:516-778-0022
Mailing Address - Fax:516-226-1871
Practice Address - Street 1:22 CREEK LN
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-1100
Practice Address - Country:US
Practice Address - Phone:516-778-0022
Practice Address - Fax:516-226-1871
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211304207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01909044Medicaid
NYG82046Medicare UPIN
NY01909044Medicaid