Dr Bettina S Niederer, MD | |
640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | |
(631) 737-0100 | |
(631) 417-1117 |
Full Name | Dr Bettina S Niederer |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 640 Hawkins Ave, Lake Ronkonkoma, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174560684 | NPI | - | NPPES |
00821994 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 136981 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Bettina S Niederer, MD 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 Ph: (631) 737-0100 | Dr Bettina S Niederer, MD 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 Ph: (631) 737-0100 |
Mohinder K Guram, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117 | |
Zenaida Reyes Ignacio-cruz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42 Metzner Rd, Lake Ronkonkoma, NY 11779 Phone: 631-588-4443 Fax: 631-588-1261 |