MEDICARE: IYAD NADER 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	282NW0100X	Women's Hospital	255219	NY
2	207V00000X	Obstetrics & Gynecology Physician	255219	NY

General Provider Information

NPI Number	:	1861728164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IYAD NADER MD

Provider Business Mailing Address
First Line	:	23 4TH CT
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-6305
Country	:	US
Telephone Number	:	347-630-7029
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 CLARKSON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2054
Country	:	US
Telephone Number	:	718-245-4570
Fax Number	:

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

Provider Enumeration Date	:	10/22/2009
Last Update Date	:	06/09/2020

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Directions to “ IYAD NADER MD” Practice Location

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