Provider Demographics
NPI:1295888311
Name:ANDREW NAING
Entity type:Organization
Organization Name:ANDREW NAING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:NAING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-274-1578
Mailing Address - Street 1:128 MOTT ST STE 301
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5575
Mailing Address - Country:US
Mailing Address - Phone:212-274-1578
Mailing Address - Fax:212-274-1584
Practice Address - Street 1:2355 DEMEYER ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-6008
Practice Address - Country:US
Practice Address - Phone:718-882-2780
Practice Address - Fax:718-882-2780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213366207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02080124Medicaid
NY46Z441Medicare ID - Type Unspecified
NY02080124Medicaid