Provider Demographics
NPI:1649210592
Name:NAYO, EUNICE Y (MD)
Entity Type:Individual
Prefix:DR
First Name:EUNICE
Middle Name:Y
Last Name:NAYO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2194 GRAND CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-2661
Mailing Address - Country:US
Mailing Address - Phone:607-795-0555
Mailing Address - Fax:607-795-0595
Practice Address - Street 1:426 S FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WATKINS GLEN
Practice Address - State:NY
Practice Address - Zip Code:14891-1529
Practice Address - Country:US
Practice Address - Phone:607-535-5529
Practice Address - Fax:607-535-5531
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199997208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01492777Medicaid