Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 261660-1 | NY |
N | 2086S0122X | Plastic and Reconstructive Surgery | MT186029 | PA |
NPI | 1174740401 |
---|---|
Provider Name | Noel Blythe Natoli |
First Address | Garden City, NY 11530-2913 |
Second Address | Garden City, NY 11530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 03/10/2017 |