Healthcare Provider Details

I. General information

NPI: 1578724381
Provider Name (Legal Business Name): NATALIA CRISTINA FLORES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 12/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ROUTE 347 BLDG 10A
STONY BROOK NY
11790-2553
US

IV. Provider business mailing address

900 MERCHANTS CONCOURSE STE 216
WESTBURY NY
11590-5114
US

V. Phone/Fax

Practice location:
  • Phone: 631-751-0934
  • Fax:
Mailing address:
  • Phone: 516-226-8373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number267943
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: