MEDICARE: NASER E YAZIGI 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	207770	NY
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	207770	NY
3	207RI0200X	Infectious Disease Physician	207770	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P2358699	OTHER	NY	OXFORD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	26N303	OTHER	NY	BLUE CROSS BLUE SHIELD
4	2699951	OTHER	NY	AETNA HMO
5	0406371	OTHER	NY	UNITED HEALTH CARE
6	7077298	OTHER	NY	AETNA PPO

General Provider Information

NPI Number	:	1598862484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NASER E YAZIGI M.D.

Provider Business Mailing Address
First Line	:	421 78TH ST STE B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3447
Country	:	US
Telephone Number	:	917-885-3352
Fax Number	:	718-748-6487

Provider Business Practice Location Address
First Line	:	421 78TH ST STE B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3447
Country	:	US
Telephone Number	:	718-833-7535
Fax Number	:	718-748-6487

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/29/2019

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Directions to “ NASER E YAZIGI M.D.” Practice Location

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