Look up the most recent NPI and PECOS records

Natalya Gazizov

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Natalya Gazizov is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1144587106
Provider Type
Individual
Full Name
Gazizov, Natalya
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/16/2012
Last Updated
3/21/2018

Contact Information

Practice Location

47 Montauk Ave, Merrick, NY 11566-4594

(516) 513-0626

Unlisted Fax

Mailing Location

47 Montauk Ave, Merrick, NY 11566-4594

(516) 513-0626

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD446222 Pennsylvania

Natalya Gazizov

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Nassau Medical Assoc

Shore, Gary J

37 Main Street Medical Care Pc

Gary Shore Md Pc

Goldstein, Andrew Mark

Winthrop Faculty Medical Affiliates University Faculty Practice Corpor

Farooki, Mansoor

Edayadi, Alexander P

Abramovitz, Tibian

Chs Physician Partners, Pc