MEDICARE: NAYEF EL DAHER MD, PHD

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	207RI0200X	Infectious Disease Physician	204053	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	:	1659311439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAYEF EL DAHER MD, PHD

Provider Business Mailing Address
First Line	:	89 GENESEE ST
Second Line	:	BK BLDG. 3RD FLOOR
City	:	ROCHESTER
State	:	NY
Zip	:	14611-3201
Country	:	US
Telephone Number	:	585-368-4330
Fax Number	:	585-368-3163

Provider Business Practice Location Address
First Line	:	89 GENESEE ST
Second Line	:	BK BLDG. 3RD FLOOR
City	:	ROCHESTER
State	:	NY
Zip	:	14611-3201
Country	:	US
Telephone Number	:	585-368-4330
Fax Number	:	585-368-3163

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/28/2015

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