Provider Demographics
NPI:1316256480
Name:BHATT, SHEENA D (RPA-C, MPAS)
Entity type:Individual
Prefix:MS
First Name:SHEENA
Middle Name:D
Last Name:BHATT
Suffix:
Gender:F
Credentials:RPA-C, MPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:25 LONG ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4417
Mailing Address - Country:US
Mailing Address - Phone:631-902-8307
Mailing Address - Fax:
Practice Address - Street 1:222 STATION PLZ N
Practice Address - Street 2:WINTHROP UNIVERSITY HOSPITAL SUITE 408
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3800
Practice Address - Country:US
Practice Address - Phone:516-663-2205
Practice Address - Fax:516-663-3366
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY014335363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical