Provider Demographics
NPI:1285985911
Name:LAMBERT-DOORN, NAHESI NATALIE (MD)
Entity type:Individual
Prefix:DR
First Name:NAHESI
Middle Name:NATALIE
Last Name:LAMBERT-DOORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAHESI
Other - Middle Name:NATALIE
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:900 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2522
Mailing Address - Country:US
Mailing Address - Phone:516-519-8400
Mailing Address - Fax:516-519-8404
Practice Address - Street 1:3601 SW 160TH AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-6308
Practice Address - Country:US
Practice Address - Phone:877-866-7123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266817207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
NY331946Medicare Oscar/Certification
NYW6L111Medicare Oscar/Certification