Provider Demographics
NPI:1770656670
Name:NUYENS, MONICA M (MD)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:M
Last Name:NUYENS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3 LYON PLACE SUITE 101
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-2590
Mailing Address - Country:US
Mailing Address - Phone:315-393-0392
Mailing Address - Fax:315-393-0591
Practice Address - Street 1:3 LYON PL SUITE 101
Practice Address - Street 2:NORTH COUNTY OPHTHALMOLOGY ASSOCIATES PC
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669
Practice Address - Country:US
Practice Address - Phone:315-393-0392
Practice Address - Fax:315-393-0591
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY1858041207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01243407Medicaid
B55428Medicare UPIN
NY01243407Medicaid