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NPI Code Detail

MEDICARE: DR. SHAILA NAYAK MD

MEDICARE: DR. SHAILA NAYAK 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
1207ZB0001XBlood Banking & Transfusion Medicine Physician25MA03238600NJ
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician25MA03238600NJ

General Provider Information

NPI Number : 1891787735
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAILA NAYAK MD
Provider Business Mailing Address
First Line : 4567 CROSSROADS PARK DR
Second Line : 2ND FLOOR
City : LIVERPOOL
State : NY
Zip : 13088-3589
Country : US
Telephone Number : 315-295-2100
Fax Number : 315-295-2125
Provider Business Practice Location Address
First Line : 355 GRAND ST
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-4321
Country : US
Telephone Number : 201-915-2485
Fax Number : 201-915-2377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 11/21/2007

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Directions to “ DR. SHAILA NAYAK MD” Practice Location

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