MEDICARE: DR. NYI NYI AUNG M.D.

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
1	207R00000X	Internal Medicine Physician	281266	NY

General Provider Information

NPI Number	:	1114344017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NYI NYI AUNG M.D.

Provider Business Mailing Address
First Line	:	115 SAINT NICHOLAS AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-3097
Country	:	US
Telephone Number	:	718-418-8368
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 SAINT NICHOLAS AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-3097
Country	:	US
Telephone Number	:	718-418-8368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2014
Last Update Date	:	06/22/2016

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