Individual provider · Type 1 NPI

Natalya Kusheleva, PA

Medical Physician Assistant · Staten Island, NY

NPI number 1780657452 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Call (718) 226-9767 Map

Mailing address

105 Dogwood Ln
Staten Island, NY 10305-2812

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X006516 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1780657452

Natalya Kusheleva, PA's National Provider Identifier is 1780657452, issued on Feb 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Staten Island, NY. The record was last updated on Jul 13, 2026.