MEDICARE: NATALIE ESHAGHIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	071130-01	NY

General Provider Information

NPI Number	:	1154253060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE ESHAGHIAN

Provider Business Mailing Address
First Line	:	45 WARWICK RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11023-1613
Country	:	US
Telephone Number	:	516-445-6265
Fax Number	:

Provider Business Practice Location Address
First Line	:	1490 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4714
Country	:	US
Telephone Number	:	718-253-4900
Fax Number	:	718-253-4905

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ NATALIE ESHAGHIAN ” Practice Location

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