Provider Demographics
NPI:1578711891
Name:GOLTYAPINA, NATALYA (DO)
Entity Type:Individual
Prefix:DR
First Name:NATALYA
Middle Name:
Last Name:GOLTYAPINA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 BROADWAY
Mailing Address - Street 2:SUITE 1107
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4201
Mailing Address - Country:US
Mailing Address - Phone:646-661-4386
Mailing Address - Fax:877-682-2321
Practice Address - Street 1:160 BROADWAY
Practice Address - Street 2:SUITE 1107
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4201
Practice Address - Country:US
Practice Address - Phone:646-661-4386
Practice Address - Fax:877-682-2321
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60 250102207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology