Healthcare Provider Details

I. General information

NPI: 1992656193
Provider Name (Legal Business Name): VICTORIA M NATALE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 HALF HOLLOW RD
DIX HILLS NY
11746-5828
US

IV. Provider business mailing address

43 TREEVIEW DR
MELVILLE NY
11747-2414
US

V. Phone/Fax

Practice location:
  • Phone: 631-626-2879
  • Fax:
Mailing address:
  • Phone: 631-626-2879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number030449
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: