Healthcare Provider Details

I. General information

NPI: 1750204517
Provider Name (Legal Business Name): NATALIA WEST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 W 12TH ST
BROOKLYN NY
11223-1145
US

IV. Provider business mailing address

323 S ELM ST
MOUNT PROSPECT IL
60056-3369
US

V. Phone/Fax

Practice location:
  • Phone: 646-844-0409
  • Fax:
Mailing address:
  • Phone: 917-941-8156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: