Provider Demographics
NPI:1477735124
Name:DR CHRISTIAN NAHAS D.O. P.C.
Entity Type:Organization
Organization Name:DR CHRISTIAN NAHAS D.O. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OSTEOPATHY
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:NAHAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-431-0698
Mailing Address - Street 1:3 CALIFORNIA PL S
Mailing Address - Street 2:
Mailing Address - City:ISLAND PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11558-2216
Mailing Address - Country:US
Mailing Address - Phone:516-431-0698
Mailing Address - Fax:516-431-0767
Practice Address - Street 1:3 CALIFORNIA PL S
Practice Address - Street 2:
Practice Address - City:ISLAND PARK
Practice Address - State:NY
Practice Address - Zip Code:11558-2216
Practice Address - Country:US
Practice Address - Phone:516-431-0698
Practice Address - Fax:516-431-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184118-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01356990Medicaid
NY01356990Medicaid