MEDICARE: DR. MARK L NAGY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YP0228X	Pediatric Otolaryngology Physician	190044-1	NY
2	207Y00000X	Otolaryngology Physician	190044	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427054824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK L NAGY MD

Provider Business Mailing Address
First Line	:	OISHEI CHILDRENS OUTPATIENT CENTER
Second Line	:	1000 MAIN ST. 3RD FLOOR
City	:	BUFFALO
State	:	NY
Zip	:	14202
Country	:	US
Telephone Number	:	716-323-6030
Fax Number	:	716-323-6671

Provider Business Practice Location Address
First Line	:	OISHEI CHILDRENS OUTPATIENT CENTER
Second Line	:	1000 MAIN ST. 3RD FLOOR
City	:	BUFFALO
State	:	NY
Zip	:	14202
Country	:	US
Telephone Number	:	716-323-6030
Fax Number	:	716-323-6671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	10/15/2025

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