Provider Demographics
NPI:1023058377
Name:VESELOVA, NATALIA E (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:E
Last Name:VESELOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:713 TROY SCHENECTADY RD STE 131
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2490
Mailing Address - Country:US
Mailing Address - Phone:518-713-4434
Mailing Address - Fax:518-713-4432
Practice Address - Street 1:713 TROY SCHENECTADY RD STE 131
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2490
Practice Address - Country:US
Practice Address - Phone:518-713-4434
Practice Address - Fax:518-713-4432
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2018-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY214282207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00294916OtherRAILROAD MEDICARE
NYP00294916OtherRAILROAD MEDICARE