Dr. Bettina S. Niederer

MD | Pediatrics | Female

Dr. Bettina S. Niederer, MD is a Lake Ronkonkoma, New York based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Bettina S. Niederer is 640 Hawkins Ave, Lake Ronkonkoma, New York - 11779-2324. She can be contacted on phone at 631-737-0100 and fax number 631-417-1117. Dr. Bettina S. Niederer is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Bettina S. Niederer is 1174560684 which was assigned by NPPES on 01 Jun, 2006 and it was last updated on 08 Jul, 2007. Dr. Bettina S. Niederer license number is 136981 for Pediatrics (208000000X) in New York.
Dr. Bettina S. Niederer is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Bettina S. Niederer basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Bettina S. Niederer
Credential :MD
Gender :Female
Business Address:
Dr. Bettina S. Niederer address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :640 Hawkins Ave
Lake Ronkonkoma, NY, 11779-2324
United States
Phone Number :631-737-0100
Fax Number :631-417-1117
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1174560684
NPI Entity Type : Individual
First Enrolment Date : 01 Jun, 2006
Last Updated On : 08 Jul, 2007
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bettina S. Niederer are as mentioned. Primary taxonomy code for Dr. Bettina S. Niederer, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes136981NY
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bettina S. Niederer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
00821994MEDICAIDNY
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :640 Hawkins Ave
Lake Ronkonkoma, NY, 11779-2324
United States
Phone Number :631-737-0100
Fax Number :631-417-1117
Business Location:
Patients can refer following map for directions to Dr. Bettina S. Niederer practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.