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General NPI Number Information
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NPI Number | 1326706714
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Entity Type | Organization
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Legal Business Name | JONATHAN NAYSAN, MD, PLLC
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Dates
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Enumeration Date | 12/02/2021
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 250 E 65TH ST APT 14H
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City | NEW YORK
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State | NY
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Zip | 10065-6617
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Country | US
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Telephone | 917-765-5575
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Fax |
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Provider Business Mailing Address
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Address Line | 250 E 65TH ST APT 14H
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City | NEW YORK
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State | NY
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Zip | 10065-6617
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR, OWNER
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Name | DR. JONATHAN NAYSAN
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Credential | MD
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Telephone | 516-428-8023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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