Provider Demographics
NPI:1619058989
Name:STACHIW, NATALKA DARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALKA
Middle Name:DARIA
Last Name:STACHIW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3670 SOUTH BENZING RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127
Mailing Address - Country:US
Mailing Address - Phone:716-675-5711
Mailing Address - Fax:716-675-1358
Practice Address - Street 1:3670 SOUTH BENZING RD
Practice Address - Street 2:SUITE C
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127
Practice Address - Country:US
Practice Address - Phone:716-675-5711
Practice Address - Fax:716-675-1358
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY262465207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology