Provider Demographics
NPI:1427939941
Name:SATTOROVA, NASIBA
Entity type:Individual
Prefix:
First Name:NASIBA
Middle Name:
Last Name:SATTOROVA
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 1:1461 SHORE PKWY APT 6H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6126
Mailing Address - Country:US
Mailing Address - Phone:707-681-0000
Mailing Address - Fax:
Practice Address - Street 1:1461 SHORE PKWY APT 6H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6126
Practice Address - Country:US
Practice Address - Phone:707-681-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator