Healthcare Provider Details

I. General information

NPI: 1952690026
Provider Name (Legal Business Name): JOHN MICHAEL NAYDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 02/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNISERSITY OF ROCHESTER STRONG MEMORIAL DIVISION OF CARDIOLOGY BOX 679A
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

UNISERSITY OF ROCHESTER STRONG MEMORIAL DIVISION OF CARDIOLOGY BOX 679A
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-4290
  • Fax: 585-473-1573
Mailing address:
  • Phone: 585-275-4290
  • Fax: 585-473-1573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number282583
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: