Healthcare Provider Details

I. General information

NPI: 1801406368
Provider Name (Legal Business Name): AJITA NAIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2020
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 S MAIN ST STE 170
JAMESTOWN NY
14701-6627
US

IV. Provider business mailing address

15 S MAIN ST STE 170
JAMESTOWN NY
14701-6627
US

V. Phone/Fax

Practice location:
  • Phone: 716-483-1183
  • Fax: 716-664-4903
Mailing address:
  • Phone: 716-483-1183
  • Fax: 716-664-4903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number343221-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: