Provider Demographics
NPI:1215078472
Name:NAYMAN, DEFNE (MD)
Entity type:Individual
Prefix:DR
First Name:DEFNE
Middle Name:
Last Name:NAYMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 E 85TH ST
Mailing Address - Street 2:#1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-5459
Mailing Address - Country:US
Mailing Address - Phone:646-678-5104
Mailing Address - Fax:
Practice Address - Street 1:330 E 85TH ST
Practice Address - Street 2:#1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-5459
Practice Address - Country:US
Practice Address - Phone:646-678-5104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000515207P00000X
NY246765207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02337497Medicaid
NY02337497Medicaid