MEDICARE: EKATERINA MUNINA HEALTH COACH

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1982414041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EKATERINA MUNINA HEALTH COACH

Provider Business Mailing Address
First Line	:	211 W 56TH ST APT 25J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-4323
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 W 56TH ST APT 25J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-4323
Country	:	US
Telephone Number	:	347-815-0134
Fax Number	:

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

Provider Enumeration Date	:	01/10/2025
Last Update Date	:	01/10/2025

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Directions to “ EKATERINA MUNINA HEALTH COACH” Practice Location

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