Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N006230 | NY |
N | 222Z00000X | Podiatrist | N006230 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | N006230 | NY |
NPI | 1083866206 |
---|---|
Provider Name | Dr. Brandon Phyo Naing |
First Address | Bayside, NY 11361-2767 |
Second Address | North Bellmore, NY 11710-1603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 06/12/2010 |