Individual
NATASHA SHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5120
(518) 262-5924
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(151) 826-2512
(518) 262-5924
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
242376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03686160
—
NY
01
—
J400098826
MEDICARE PTAN
NY
Enumeration date
08/24/2007
Last updated
07/21/2022
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