Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 236597 | NY |
NPI | 1073773792 |
---|---|
Provider Name | Dr. Amrita Sujir Nayak |
First Address | Syosset, NY 11791-2718 |
Second Address | Mineola, NY 11501-3957 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 08/03/2021 |