Healthcare Provider Details

I. General information

NPI: 1821845322
Provider Name (Legal Business Name): NATASHA ELIZABETH BEJAI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2024
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2581 ATLANTIC AVE
BROOKLYN NY
11207-2412
US

IV. Provider business mailing address

9417 76TH ST
OZONE PARK NY
11416-1011
US

V. Phone/Fax

Practice location:
  • Phone: 347-239-4828
  • Fax:
Mailing address:
  • Phone: 347-239-4828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number122067
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: