Provider Demographics
NPI:1801317623
Name:COLES, NATALYA (MS, AGPCNP)
Entity type:Individual
Prefix:MRS
First Name:NATALYA
Middle Name:
Last Name:COLES
Suffix:
Gender:F
Credentials:MS, AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17730 WEXFORD TER APT 509
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2925
Mailing Address - Country:US
Mailing Address - Phone:929-729-6556
Mailing Address - Fax:
Practice Address - Street 1:2182 PITKIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-3613
Practice Address - Country:US
Practice Address - Phone:718-215-4011
Practice Address - Fax:718-215-4011
Is Sole Proprietor?:No
Enumeration Date:2017-07-01
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF308231363LA2200X
RI03440363LG0600X
NY308231363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology