Provider Demographics
NPI:1659311439
Name:EL DAHER, NAYEF (MD, PHD)
Entity Type:Individual
Prefix:
First Name:NAYEF
Middle Name:
Last Name:EL DAHER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 GENESEE ST
Mailing Address - Street 2:BK BLDG. 3RD FLOOR
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14611-3201
Mailing Address - Country:US
Mailing Address - Phone:585-368-4330
Mailing Address - Fax:585-368-3163
Practice Address - Street 1:89 GENESEE ST
Practice Address - Street 2:BK BLDG. 3RD FLOOR
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-3201
Practice Address - Country:US
Practice Address - Phone:585-368-4330
Practice Address - Fax:585-368-3163
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2015-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204053207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01709200Medicaid
5828556OtherAETNA
NY01709200Medicaid
RA0164Medicare ID - Type UnspecifiedUNITY PHYSICIAN SERVICES
NY000915255002OtherHEALTHNOW
5699789OtherGROUP HEALTH INCORPORATED
G45179Medicare UPIN