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NPI Code Detail

MEDICARE: DR. BRANDON PHYO NAING DPM

MEDICARE: DR. BRANDON PHYO NAING DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristN006230NY
2213ES0103XFoot & Ankle Surgery PodiatristN006230NY

General Provider Information

NPI Number : 1083866206
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON PHYO NAING DPM
Provider Business Mailing Address
First Line : 4241 CORPORAL KENNEDY ST
Second Line : 1A
City : BAYSIDE
State : NY
Zip : 11361-2767
Country : US
Telephone Number : 917-538-6996
Fax Number :
Provider Business Practice Location Address
First Line : 1685 NEWBRIDGE RD
Second Line :
City : NORTH BELLMORE
State : NY
Zip : 11710-1603
Country : US
Telephone Number : 516-826-0103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 12/06/2010

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