Healthcare Provider Details

I. General information

NPI: 1467839035
Provider Name (Legal Business Name): NATALIA RIMAREVA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2015
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 DEKALB AVE THE BROOKLYN HOSPITAL CENTER
BROOKLYN NY
11201-5425
US

IV. Provider business mailing address

143 MORGAN ST APT 3B
JERSEY CITY NJ
07302-5901
US

V. Phone/Fax

Practice location:
  • Phone: 718-250-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number289765
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: