Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Julie Imwalle, MSECSEECECSECE

Individual provider Specialist · NPI 1821429549

MS. Julie Imwalle, MSECSEECECSECE is a Specialist in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

15 Ricky Rd
Ronkonkoma, NY 11779-5017
Phone: (631) 553-9939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 939497 (NY)

Record details

NPI number1821429549
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSECSEECECSECE
Sole proprietorYes
NPI enumeratedDecember 5, 2013
Last updated in NPPESDecember 17, 2013

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