Provider Demographics
NPI:1396109005
Name:EATON, NATASHA
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:EATON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FOUNTAIN LN
Mailing Address - Street 2:APT 1C
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4654
Mailing Address - Country:US
Mailing Address - Phone:914-960-9989
Mailing Address - Fax:
Practice Address - Street 1:1 FOUNTAIN LN
Practice Address - Street 2:APT 1C
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4654
Practice Address - Country:US
Practice Address - Phone:914-960-9989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist