Provider Demographics
NPI:1598862484
Name:YAZIGI, NASER E (MD)
Entity Type:Individual
Prefix:
First Name:NASER
Middle Name:E
Last Name:YAZIGI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 78TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3447
Mailing Address - Country:US
Mailing Address - Phone:917-885-3352
Mailing Address - Fax:718-748-6487
Practice Address - Street 1:421 78TH ST STE B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3447
Practice Address - Country:US
Practice Address - Phone:718-833-7535
Practice Address - Fax:718-748-6487
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207770207R00000X, 207RC0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2358699OtherOXFORD
NY01777408Medicaid
NY26N303OtherBLUE CROSS BLUE SHIELD
NY2699951OtherAETNA HMO
NY0406371OtherUNITED HEALTH CARE
NY7077298OtherAETNA PPO
NYG55129Medicare UPIN
NY7077298OtherAETNA PPO