Provider Demographics
NPI:1962990960
Name:FAMOUS-TURNER, NATALIA ABENA
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:ABENA
Last Name:FAMOUS-TURNER
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 1:425 E 117TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-5018
Mailing Address - Country:US
Mailing Address - Phone:718-772-5008
Mailing Address - Fax:
Practice Address - Street 1:425 E 117TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-5018
Practice Address - Country:US
Practice Address - Phone:718-772-5008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist