Individual
NATALIA KOTOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1379 W 7TH ST, BROOKLYN, NY 11204-4804
(212) 202-0765
Mailing address
1859 80TH ST APT 3, BROOKLYN, NY 11214-1792
(212) 202-0765
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404777-01
NY
Other
Enumeration date
09/18/2023
Last updated
10/11/2024
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