Provider Demographics
NPI:1720010408
Name:NAING, SUNDEE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNDEE
Middle Name:
Last Name:NAING
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 1:1855 RICHMOND AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3912
Mailing Address - Country:US
Mailing Address - Phone:718-816-0101
Mailing Address - Fax:718-816-9595
Practice Address - Street 1:1855 RICHMOND AVE STE 201
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3912
Practice Address - Country:US
Practice Address - Phone:718-816-0101
Practice Address - Fax:718-816-9595
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236513207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1720010408Medicare NSC