Provider Demographics
NPI:1093482622
Name:KURCHANOVA, NATALIA VIKTOROVNA (PHD, LP)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:VIKTOROVNA
Last Name:KURCHANOVA
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:DR
Other - First Name:NATASHA
Other - Middle Name:VIKTOR
Other - Last Name:KURCHANOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:324 W 83RD ST APT 5W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4825
Mailing Address - Country:US
Mailing Address - Phone:917-533-4351
Mailing Address - Fax:
Practice Address - Street 1:1651 3RD AVE RM 205
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3679
Practice Address - Country:US
Practice Address - Phone:212-410-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst