| Doctor Name: | JULIANE MAXWALD-SHREY |
| NPI Number: | 1003069352 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LP, CASAC |
| License Number: | CASAC-17607 |
| Business Practice Address: | 531 50th Ave Long Island City, NY - 111015711 |
| Business Phone Number: | 9177211015 |
| Business Fax Number: | |
| Mailing Address: | 509 48th Ave Apt 3a, LONG ISLAND CITY |
| State: | NY |
| Postal Code: | 111015604 |
| Phone Number: | 9177211015 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2008 |
| NPI Last Update Date: | 07/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CASAC-17607 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |