Provider Demographics
NPI:1982955308
Name:NAING, KYAW (NP)
Entity Type:Individual
Prefix:MR
First Name:KYAW
Middle Name:
Last Name:NAING
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5155 VAN KLEECK ST APT 3K
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4218
Mailing Address - Country:US
Mailing Address - Phone:917-767-4902
Mailing Address - Fax:
Practice Address - Street 1:5155 VAN KLEECK ST APT 3K
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4218
Practice Address - Country:US
Practice Address - Phone:917-767-4902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF305629363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health