Nataliya Godko, RN

Individual provider Active NPI Registered Nurse · Brooklyn, NY

NPI 1144584707 · NPPES record last updated Jun 28, 2012

Key facts

NPI
1144584707
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
649532-1 (NY)
Practice address
3734 Maple Ave
Apt 1F
Brooklyn, NY 11224-1365
Phone
(718) 449-4803
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
649532-1NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 649532-1 NY Yes

Addresses

Primary practice location

3734 Maple Ave
Apt 1F
Brooklyn, NY 11224-1365

Mailing address

3734 Maple Ave
Apt1F
Brooklyn, NY 11224-1365
Phone (718) 449-4803

Other identifiers

IdentifierTypeStateIssuer
02386450MedicaidNY

Other providers in Brooklyn, NY

All providers in Brooklyn, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.