Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 300962 | NY |
Y | 111NI0900X | Internist | 300962 | NY |
NPI | 1003260837 |
---|---|
Provider Name | Natalia Golub |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2016 |
Last Update Date | 31/10/2019 |