Individual
NATALIYA PONTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CORBIN PL APT L1, BROOKLYN, NY 11235-4932
(718) 238-2285
Mailing address
2170 BRIGHAM ST APT 4C, BROOKLYN, NY 11229-5640
(718) 269-8152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643262-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404553-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386450
—
NY
Enumeration date
09/08/2011
Last updated
01/06/2023
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