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NPI Code Detail

MEDICARE: NATALYA GAYEVSKY

MEDICARE: NATALYA GAYEVSKY
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1750664652
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALYA GAYEVSKY
Provider Business Mailing Address
First Line : 137 WEED AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-4924
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2795 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-5866
Country : US
Telephone Number : 718-761-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2011
Last Update Date : 09/27/2011

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Directions to “ NATALYA GAYEVSKY ” Practice Location

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