Provider Demographics
NPI:1194349761
Name:BHATTI, ARUSA RASHID
Entity type:Individual
Prefix:
First Name:ARUSA
Middle Name:RASHID
Last Name:BHATTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CRYSTAL BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:MORICHES
Mailing Address - State:NY
Mailing Address - Zip Code:11955-1904
Mailing Address - Country:US
Mailing Address - Phone:631-830-3682
Mailing Address - Fax:
Practice Address - Street 1:300 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2146
Practice Address - Country:US
Practice Address - Phone:631-758-7003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-30
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant