Individual provider · Type 1 NPI

Inessa Natanov, PA

Medical Physician Assistant · Rego Park, NY

NPI number 1164690913 Active

Practice location

9785 Queens Blvd
Rego Park, NY 11374-3319

Fax (718) 897-2915

Mailing address

9777 Queens Blvd
Rego Park, NY 11374-3335

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X011968 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1164690913

Inessa Natanov, PA's National Provider Identifier is 1164690913, issued on Feb 14, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rego Park, NY. The record was last updated on Feb 1, 2012.