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NPI Code Detail

MEDICARE: DR. NERRY LEX NAYZOV O.D.

MEDICARE: DR. NERRY LEX NAYZOV O.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
1152W00000XOptometristTUV007580NY

General Provider Information

NPI Number : 1467767970
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NERRY LEX NAYZOV O.D.
Provider Business Mailing Address
First Line : 21519 73RD AVE
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-2928
Country : US
Telephone Number : 718-819-8477
Fax Number : 718-819-8534
Provider Business Practice Location Address
First Line : 21519 73RD AVE
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-2928
Country : US
Telephone Number : 718-819-8477
Fax Number : 718-819-8534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2010
Last Update Date : 08/23/2023

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