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General NPI Number Information
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NPI Number | 1992822019
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Entity Type | Individual
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Provider Name | APPASAHEB NAIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 241 ROCKAWAY AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11580-5827
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Country | US
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Telephone | 203-645-7822
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Fax | 203-885-0304
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Provider Business Mailing Address
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Address Line | 43 SHAMROCK DR
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City | BROOKFIELD
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State | CT
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Zip | 06804-1813
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Country | US
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Telephone | 203-645-7822
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Fax | 203-885-0304
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 150818
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License Number State | NY
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