Individual
DR. NAYYER OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-9788
Mailing address
2405 GENESEE ST, UTICA, NY 13501-6214
(315) 798-9788
(315) 798-9766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1381431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040122802
UNIVERA
—
05
—
00459292
—
NY
01
—
00931237
MEDICAID
—
01
—
050028123
PALMETTO
—
01
—
100050391401
UHC MEDICAID
NY
01
—
10057215
CDPHP
NY
01
—
11316442
CAQH
—
01
—
207045400
US DEPT LABOR
NY
01
—
325114
MUP
—
01
—
40426014381
FIDELIS
—
01
—
503914
UHC
NY
01
—
54602A
MEDICARE
—
Enumeration date
10/21/2005
Last updated
10/26/2010
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