Provider Demographics
NPI:1609968833
Name:NAING, ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:NAING
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:PO BOX 130365
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-0995
Mailing Address - Country:US
Mailing Address - Phone:718-882-2780
Mailing Address - Fax:718-882-2780
Practice Address - Street 1:202 CANAL ST
Practice Address - Street 2:STE 401
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4517
Practice Address - Country:US
Practice Address - Phone:212-966-7583
Practice Address - Fax:212-966-7582
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213366207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02080124Medicaid
NY46Z441Medicare ID - Type Unspecified
NYH16572Medicare UPIN