Provider Demographics
NPI:1013282615
Name:GOBERMAN-ROSENSTOCK, NATALYA (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALYA
Middle Name:
Last Name:GOBERMAN-ROSENSTOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NATALYA
Other - Middle Name:GOBERMAN
Other - Last Name:ROSENSTOCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 290213
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-0213
Mailing Address - Country:US
Mailing Address - Phone:201-366-4324
Mailing Address - Fax:
Practice Address - Street 1:100 DAIBES CT
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1022
Practice Address - Country:US
Practice Address - Phone:201-366-4324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program