Provider Demographics
NPI:1902975964
Name:JULIANO, CHRISTINE (MSW LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:JULIANO
Suffix:
Gender:F
Credentials:MSW LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-2510
Mailing Address - Country:US
Mailing Address - Phone:607-287-0711
Mailing Address - Fax:
Practice Address - Street 1:254 MAIN ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2510
Practice Address - Country:US
Practice Address - Phone:607-287-0711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0554101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
7479063OtherGHI
615313OtherMVP HEALTHCARE
154962OtherVALVA OPTIONS
7479063OtherGHI