MEDICARE: DR. ANDREW NAING 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	207W00000X	Ophthalmology Physician	213366	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

General Provider Information

NPI Number	:	1609968833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW NAING M.D.

Provider Business Mailing Address
First Line	:	PO BOX 130365
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-0995
Country	:	US
Telephone Number	:	718-882-2780
Fax Number	:	718-882-2780

Provider Business Practice Location Address
First Line	:	202 CANAL ST
Second Line	:	STE 401
City	:	NEW YORK
State	:	NY
Zip	:	10013-4517
Country	:	US
Telephone Number	:	212-966-7583
Fax Number	:	212-966-7582

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	05/24/2016

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