Provider Demographics
NPI:1801220108
Name:VOLKOV, NATALIYA
Entity Type:Individual
Prefix:DR
First Name:NATALIYA
Middle Name:
Last Name:VOLKOV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 DELMAR LOOP
Mailing Address - Street 2:APT 5H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11239-1614
Mailing Address - Country:US
Mailing Address - Phone:347-554-3270
Mailing Address - Fax:
Practice Address - Street 1:915 E 107TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3013
Practice Address - Country:US
Practice Address - Phone:718-272-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058517183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist