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Contact Information

NATALYA DIZENGOF, R.N., F.N.P.
55 BROAD ST
21ST FL.
NEW YORK, NY10004-2501
 Phone: 708-628-7667
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Emergency

163WE0003X
Indicates primary specialty

NPI Profile & details for NATALYA DIZENGOF · (Female)

NPI Number 1841741725
Status Active
Credentials R.N., F.N.P.
Entity Individual
Enumeration date 10/17/2016
Last updated 01/13/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 612141-1
  • NY License # F340393-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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