Provider Demographics
NPI:1619248549
Name:NATALYA GOLTYAPINA MEDICAL PC
Entity Type:Organization
Organization Name:NATALYA GOLTYAPINA MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLTYAPINA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:646-661-4386
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250102207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty