MEDICARE: RAMI K DAYA MD

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	174400000X	Specialist	168191	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	KS391	OTHER	NY	OXFORD

General Provider Information

NPI Number	:	1154380376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMI K DAYA MD

Provider Business Mailing Address
First Line	:	9920 4TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-8333
Country	:	US
Telephone Number	:	718-921-1672
Fax Number	:

Provider Business Practice Location Address
First Line	:	9920 4TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-8333
Country	:	US
Telephone Number	:	718-921-1672
Fax Number	:

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

Provider Enumeration Date	:	03/18/2006
Last Update Date	:	03/22/2021

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