Provider Demographics
NPI:1740539683
Name:LIMAGE, NATALIA
Entity type:Individual
Prefix:MS
First Name:NATALIA
Middle Name:
Last Name:LIMAGE
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 1:1460 ROYCE ST
Mailing Address - Street 2:APT 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5924
Mailing Address - Country:US
Mailing Address - Phone:212-719-9600
Mailing Address - Fax:
Practice Address - Street 1:18 EAST 41ST STREET
Practice Address - Street 2:14TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:MT
Practice Address - Zip Code:10017-6244
Practice Address - Country:US
Practice Address - Phone:212-719-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291281164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse