MEDICARE: DR CHRISTIAN NAHAS D.O. P.C.

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	207Q00000X	Family Medicine Physician	184118-1	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	:	1477735124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR CHRISTIAN NAHAS D.O. P.C.

Provider Business Mailing Address
First Line	:	3 CALIFORNIA PL S
Second Line	:
City	:	ISLAND PARK
State	:	NY
Zip	:	11558-2216
Country	:	US
Telephone Number	:	516-431-0698
Fax Number	:	516-431-0767

Provider Business Practice Location Address
First Line	:	3 CALIFORNIA PL S
Second Line	:
City	:	ISLAND PARK
State	:	NY
Zip	:	11558-2216
Country	:	US
Telephone Number	:	516-431-0698
Fax Number	:	516-431-0767

Authorized Official
Title or Position	:	DOCTOR OF OSTEOPATHY
Name	:	DR. CHRISTIAN S NAHAS
Credential	:	D.O.
Telephone Number	:	516-431-0698

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	12/04/2007

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