Provider Demographics
NPI:1356437560
Name:BHATTY, SAMINA B (MD)
Entity type:Individual
Prefix:DR
First Name:SAMINA
Middle Name:B
Last Name:BHATTY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:28 ARBOR FIELD WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-1836
Mailing Address - Country:US
Mailing Address - Phone:631-645-8299
Mailing Address - Fax:
Practice Address - Street 1:1000 N VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-1000
Practice Address - Country:US
Practice Address - Phone:516-705-1224
Practice Address - Fax:516-705-2374
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY191999-1174400000X
NY1919992080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2120398OtherVYTRA HEALTH PLANS
NY3451146OtherAETNA HEALTH PLANS
NYP3555372OtherOXFORD
NY5C4700OtherHEALTHNET
NY9062538OtherCIGNA HEALTHCARE
NYON25343OtherMDNY
NY0112362OtherGHI
NY01423261Medicaid
NY1356437560OtherOTHER
NY191999OtherHIP FAMILY HEALTH PLUS
NY131828429OtherHIP HEALTHCARE PARTNERS
NYSB644X91OtherEMPIRE BC/BS