Provider Demographics
NPI:1821279449
Name:HAROLD W. NAJAC, M.D., P.C.
Entity Type:Organization
Organization Name:HAROLD W. NAJAC, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:NAJAC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-261-2666
Mailing Address - Street 1:12510 QUEENS BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1519
Mailing Address - Country:US
Mailing Address - Phone:718-261-2666
Mailing Address - Fax:718-268-0443
Practice Address - Street 1:12510 QUEENS BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1519
Practice Address - Country:US
Practice Address - Phone:718-261-2666
Practice Address - Fax:718-268-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185810207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01483903Medicaid
NYF44618Medicare UPIN
NY38729HMedicare PIN
NY38729Medicare PIN