Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael R Gataullin

Individual provider Peer Specialist · NPI 1568085926

Michael R Gataullin is a Peer Specialist in Brooklyn, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone: (929) 273-7601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1568085926
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2020
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020

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