Individual
BHASKAR C NAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
283 COMMACK RD, SUITE LL3, COMMACK, NY 11725-6021
(631) 462-8636
Mailing address
20 LAKERIDGE DR, HUNTINGTON, NY 11743-3962
(631) 242-4690
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
159047
NY
Other
Enumeration date
03/27/2006
Last updated
05/03/2012
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