DAOD NIDAL PAK MD NPI 1063040806

NPI Information

  • NPI: 1063040806
  • Provider Name: DAOD NIDAL PAK, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 4 SMITH HAVEN MALL STE 105
    LAKE GROVE, NY
    ZIP 11755
  • Phone: (631) 444-2599

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NPI Details

Daod Nidal Pak, MD is a neurology psychiatry neurology in Lake Grove, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Daod Nidal Pak, MD NPI is 1063040806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4 SMITH HAVEN MALL STE 105
LAKE GROVE, NY
ZIP 11755-219
Phone: (631) 444-2599

The enumeration date for this NPI number is 3/28/2020 and was last updated on 7/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology327970NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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