Provider Demographics
NPI:1033703467
Name:NAYYAR, SARTHAK
Entity Type:Individual
Prefix:DR
First Name:SARTHAK
Middle Name:
Last Name:NAYYAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 E MAIN ST # 131
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-5118
Mailing Address - Country:US
Mailing Address - Phone:845-415-8256
Mailing Address - Fax:845-245-2114
Practice Address - Street 1:127 E MAIN ST # 131
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5118
Practice Address - Country:US
Practice Address - Phone:845-415-8256
Practice Address - Fax:845-245-2114
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0627751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice