MEDICARE: SHIRA NATANOV

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	101YM0800X	Mental Health Counselor	013522	NY

General Provider Information

NPI Number	:	1588278972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRA NATANOV

Provider Business Mailing Address
First Line	:	1268 E 14TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5241
Country	:	US
Telephone Number	:	718-382-0045
Fax Number	:	718-382-0051

Provider Business Practice Location Address
First Line	:	2755 E 64TH ST FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6821
Country	:	US
Telephone Number	:	347-962-8914
Fax Number	:

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

Provider Enumeration Date	:	09/02/2020
Last Update Date	:	07/17/2025

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Directions to “ SHIRA NATANOV ” Practice Location

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