Healthcare Provider Details

I. General information

NPI: 1033958699
Provider Name (Legal Business Name): THE NATUREL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 EAST 39TH STREET
BROOKLYN NY
11210-2001
US

IV. Provider business mailing address

805 EAST 39TH STREET
BROOKLYN NY
11210-2001
US

V. Phone/Fax

Practice location:
  • Phone: 718-434-7535
  • Fax:
Mailing address:
  • Phone: 718-434-7535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAMILLE C CAMPBELL
Title or Position: OWNER
Credential:
Phone: 718-434-7535