Provider Demographics
NPI:1992822019
Name:NAIK, APPASAHEB (MD)
Entity type:Individual
Prefix:
First Name:APPASAHEB
Middle Name:
Last Name:NAIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 SHAMROCK DR
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-1813
Mailing Address - Country:US
Mailing Address - Phone:203-645-7822
Mailing Address - Fax:203-885-0304
Practice Address - Street 1:241 ROCKAWAY AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5827
Practice Address - Country:US
Practice Address - Phone:203-645-7822
Practice Address - Fax:203-885-0304
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150818174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2054756OtherOXFORD
NY04138Medicare PIN
NYP2054756OtherOXFORD
NY32F901Medicare ID - Type Unspecified