MEDICARE: DR. NATALIE ERIN MCDOLE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	275166	NY

General Provider Information

NPI Number	:	1235425224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE ERIN MCDOLE M.D.

Provider Business Mailing Address
First Line	:	68 STERLING ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3319
Country	:	US
Telephone Number	:	513-706-0002
Fax Number	:

Provider Business Practice Location Address
First Line	:	68 STERLING ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3319
Country	:	US
Telephone Number	:	513-706-0002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2011
Last Update Date	:	01/30/2024

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