MEDICARE: NATALIE ZAVUROVA LCSW

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	104100000X	Social Worker	099949-1	NY
2	1041C0700X	Clinical Social Worker	092674-01	NY

General Provider Information

NPI Number	:	1760920904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE ZAVUROVA LCSW

Provider Business Mailing Address
First Line	:	1329 E 10TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5709
Country	:	US
Telephone Number	:	347-721-5964
Fax Number	:	718-693-3915

Provider Business Practice Location Address
First Line	:	2111 AVENUE I
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2837
Country	:	US
Telephone Number	:	347-721-5964
Fax Number	:	718-693-3915

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

Provider Enumeration Date	:	02/08/2017
Last Update Date	:	06/28/2022

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Directions to “ NATALIE ZAVUROVA LCSW” Practice Location

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