Provider Demographics
NPI:1699138651
Name:MIKHELZON, NATALIYA (MD)
Entity type:Individual
Prefix:
First Name:NATALIYA
Middle Name:
Last Name:MIKHELZON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NATALIYA
Other - Middle Name:
Other - Last Name:DULYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2601 OCEAN PKWY
Mailing Address - Street 2:SUITE 4N98
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7745
Mailing Address - Country:US
Mailing Address - Phone:718-616-3779
Mailing Address - Fax:
Practice Address - Street 1:2601 OCEAN PKWY
Practice Address - Street 2:SUITE 4N98
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7745
Practice Address - Country:US
Practice Address - Phone:718-616-3779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program