Provider Demographics
NPI:1083891642
Name:AMR NAYEL MD PC
Entity Type:Organization
Organization Name:AMR NAYEL MD PC
Other - Org Name:ASTORIA HEALTHCARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMR
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAYEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-993-3000
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-0032
Mailing Address - Country:US
Mailing Address - Phone:718-626-2700
Mailing Address - Fax:
Practice Address - Street 1:2138 31ST ST
Practice Address - Street 2:APT 1B
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-2661
Practice Address - Country:US
Practice Address - Phone:718-626-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205225207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWER851OtherMEDICARE BCBS PIN
NY01937122Medicaid
NYWER851OtherMEDICARE BCBS PIN