| Doctor Name: | MS. NATALIA VAN HISSENHOVEN |
| NPI Number: | 1710227723 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 086997-1 |
| Business Practice Address: | 160 W 86th St New York, NY - 100244018 |
| Business Phone Number: | 2123628755 |
| Business Fax Number: | |
| Mailing Address: | 134 W 93rd St, Apt 6 E NEW YORK |
| State: | NY |
| Postal Code: | 100259301 |
| Phone Number: | 3478402125 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2013 |
| NPI Last Update Date: | 02/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261Q00000X |
| License Number: | 086997-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |