Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 214282 | NY |
NPI | 1023058377 |
---|---|
Provider Name | Dr. Natalia E Veselova |
First Address | Latham, NY 12110-2490 |
Second Address | Latham, NY 12110-2490 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 22/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00294916 | RAILROAD MEDICARE (01) | NY |