Provider Demographics
NPI:1316416068
Name:GRIN'KINA, NATALIA MIKHAYLOVNA (PA-C, PHD, MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:MIKHAYLOVNA
Last Name:GRIN'KINA
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Gender:F
Credentials:PA-C, PHD, MD
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Mailing Address - Street 1:2601 OCEAN PARKWAY
Mailing Address - Street 2:EMERGENCY MEDICINE DEPARTMENT, ATT. NATALIA GRIN'KINA
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:718-616-3000
Mailing Address - Fax:
Practice Address - Street 1:2601 OCEAN PARKWAY
Practice Address - Street 2:EMERGENCY MEDICINE DEPARTMENT, ATT. NATALIA GRIN'KINA
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-616-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-23
Last Update Date:2018-11-23
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Provider Licenses
StateLicense IDTaxonomies
NY023017363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant