Individual
DAOD NIDAL PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 SMITH HAVEN MALL STE 105, LAKE GROVE, NY 11755-1219
(631) 444-2599
Mailing address
101 NICOLLS ROAD, HSC T12/020, STONY BROOK, NY 11794-8121
(631) 444-2599
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
327970
NY
Other
Enumeration date
03/28/2020
Last updated
07/06/2025
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