Active NPIIndividual provider

Natalie Kologrivov, LAT, ATC

Specialist/Technologist, Athletic Trainer in Wyckoff, New Jersey

NPI Number1790483592
Practice location
325 Cedar Hill Ave, Wyckoff, NJ 07481-2312
Fax
—
Last updated
November 4, 2024

Natalie Kologrivov is a Specialist/Technologist, Athletic Trainer based in Wyckoff, NJ. Natalie Kologrivov practices in Wyckoff, NJ and has the professional credentials of LAT, ATC. The NPI Number for Natalie Kologrivov is 1790483592. The current practice location address for Natalie Kologrivov is 325 Cedar Hill Ave, Wyckoff, NJ 07481-2312 and can be reached out via phone at 201-995-3832.

Provider Profile Details

NPI Number
1790483592
Provider Name
Natalie Kologrivov
Credential
LAT, ATC
Provider Entity Type
Individual
Gender
Female
Address
325 Cedar Hill Ave, Wyckoff, NJ 07481-2312
Phone Number
201-995-3832
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
February 21, 2023
Last Update Date
November 4, 2024
Certification Date
November 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
325 Cedar Hill Ave
Wyckoff, NJ 07481-2312
Zip
07481-2312
Phone Number
201-995-3832
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
325 Cedar Hill Ave
Wyckoff, NJ 07481-2312
City
Wyckoff
State
NJ
Zip
07481-2312
Phone Number
201-995-3832

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Specialist/Technologist, Athletic Trainers near Wyckoff, NJ

View all Specialist/Technologist, Athletic Trainers in Wyckoff →

Frequently Asked Questions

What is the NPI number of Natalie Kologrivov, LAT, ATC?

The NPI number of Natalie Kologrivov, LAT, ATC is 1790483592. It was assigned on February 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Natalie Kologrivov, LAT, ATC?

Natalie Kologrivov, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Natalie Kologrivov, LAT, ATC practice?

The practice location is 325 Cedar Hill Ave, Wyckoff, NJ 07481-2312. The office can be reached at 201-995-3832 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790483592 directly on the NPPES registry website.

Browse related providers