| Doctor Name: | MRS. NATALIYA SHAFOROST |
| NPI Number: | 1841570744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F336495-1 |
| Business Practice Address: | 102-01 66th Road Forest Hills Queens, NY - 11375 |
| Business Phone Number: | 5163596845 |
| Business Fax Number: | |
| Mailing Address: | 102-01 66th Road, FOREST HILLS |
| State: | NY |
| Postal Code: | 11375 |
| Phone Number: | 5163596845 |
| Fax Number: | |
| NPI Enumeration Date: | 08/23/2011 |
| NPI Last Update Date: | 08/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F336495-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |