Healthcare Provider Details

I. General information

NPI: 1275294662
Provider Name (Legal Business Name): NATALIA SCHEKOCHIKHINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 04/01/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF EMED 43 NEW SCOTLAND AVE
ALBANY NY
12208-3412
US

IV. Provider business mailing address

DEPARTMENT OF EMED 43 NEW SCOTLAND AVE
ALBANY NY
12208-3412
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-6455
  • Fax:
Mailing address:
  • Phone: 518-262-6455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number65011
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: