Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 25MA07963100 | NJ |
NPI | 1134326655 |
---|---|
Provider Name | Natalya Kugay |
First Address | Long Branch, NJ 07740-6303 |
Second Address | Long Branch, NJ 07740-6303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 05/06/2008 |