MEDICARE: NATALIA NATOVICH MD

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	207R00000X	Internal Medicine Physician	234971	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750324117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIA NATOVICH MD

Provider Business Mailing Address
First Line	:	440 EAST 9TH STREET
Second Line	:	APT 4A
City	:	BROOKLYN
State	:	NY
Zip	:	11218
Country	:	US
Telephone Number	:	718-693-2157
Fax Number	:

Provider Business Practice Location Address
First Line	:	3049 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8372
Country	:	US
Telephone Number	:	718-775-7733
Fax Number	:	347-702-7551

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	07/14/2010

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