Provider Demographics
NPI:1124322540
Name:FERRARO, NATALIE (DPM)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:FERRARO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1738 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4428
Mailing Address - Country:US
Mailing Address - Phone:718-339-4085
Mailing Address - Fax:718-339-2956
Practice Address - Street 1:1738 E 34TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4428
Practice Address - Country:US
Practice Address - Phone:718-339-4085
Practice Address - Fax:718-339-2956
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005070-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist