Healthcare Provider Details

I. General information

NPI: 1063088482
Provider Name (Legal Business Name): NAYAAB BAKSHI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 OLD COUNTRY RD
PLAINVIEW NY
11803-5013
US

IV. Provider business mailing address

1600 OLD COUNTRY RD
PLAINVIEW NY
11803-5013
US

V. Phone/Fax

Practice location:
  • Phone: 516-622-6090
  • Fax:
Mailing address:
  • Phone: 516-622-6090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number344349
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: