Provider Demographics
NPI:1093012312
Name:NINA DAYEN DO PC
Entity Type:Organization
Organization Name:NINA DAYEN DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN - INTERNAL MEDICINE
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-613-5966
Mailing Address - Street 1:1775 E 13TH ST APT 4H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1932
Mailing Address - Country:US
Mailing Address - Phone:917-613-5966
Mailing Address - Fax:347-587-6814
Practice Address - Street 1:1009 BRIGHTON BEACH AVE STE 302
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5659
Practice Address - Country:US
Practice Address - Phone:718-975-0657
Practice Address - Fax:718-975-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty