Provider Demographics
NPI:1932405149
Name:BILOKUR, NATALIYA VOLODYMYRIVNA (MD)
Entity Type:Individual
Prefix:
First Name:NATALIYA
Middle Name:VOLODYMYRIVNA
Last Name:BILOKUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 BRIGHTON BEACH AVE
Mailing Address - Street 2:APT 3 E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5802
Mailing Address - Country:US
Mailing Address - Phone:718-646-4307
Mailing Address - Fax:
Practice Address - Street 1:101 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-4870
Practice Address - Country:US
Practice Address - Phone:631-687-4131
Practice Address - Fax:631-654-7376
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-04
Last Update Date:2013-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259855207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3399180Medicaid
NYA400048968OtherMEDICARE