# JONATHAN NAYSAN, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326706714
- **Authorized official:** DR. JONATHAN NAYSAN MD (MEDICAL DIRECTOR, OWNER)
- **Authorized official phone:** (516) 428-8023

## Contact information

- **Practice address:** 250 E 65TH ST APT 14H, NEW YORK, NY 10065-6617
- **Practice address phone:** (917) 765-5575
- **Mailing address:** 250 E 65TH ST APT 14H, NEW YORK, NY 10065-6617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | — |

## Other

- **Enumeration date:** 12/02/2021
- **Last updated:** 12/02/2021