Provider Demographics
NPI:1043456965
Name:NADER PAKSIMA DO
Entity Type:Organization
Organization Name:NADER PAKSIMA DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:PAKSIMA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-263-2192
Mailing Address - Street 1:530 1ST AVE
Mailing Address - Street 2:SUITE 8U
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-2192
Mailing Address - Fax:212-263-0231
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SUITE 8U
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-2192
Practice Address - Fax:212-263-0231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207841207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG79191Medicare UPIN