Provider Demographics
NPI:1801770755
Name:RESTRICK, JUSTINE ELISE (MED)
Entity type:Individual
Prefix:MRS
First Name:JUSTINE
Middle Name:ELISE
Last Name:RESTRICK
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 BLAKE DR
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2739
Mailing Address - Country:US
Mailing Address - Phone:585-451-1060
Mailing Address - Fax:
Practice Address - Street 1:817 BLAKE DR
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-2739
Practice Address - Country:US
Practice Address - Phone:585-451-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator