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NPI Code Detail

MEDICARE: NATALIE KOLMANOVSKY

MEDICARE: NATALIE KOLMANOVSKY
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1295430593
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE KOLMANOVSKY
Provider Business Mailing Address
First Line : 2547 W 2ND ST APT B
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-6250
Country : US
Telephone Number : 929-292-0365
Fax Number :
Provider Business Practice Location Address
First Line : 2547 W 2ND ST APT B
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-6250
Country : US
Telephone Number : 929-292-0365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2023
Last Update Date : 04/04/2023

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Directions to “ NATALIE KOLMANOVSKY ” Practice Location

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