| Nikita Bala, | |
|
4045 Hempstead Tpke, Bethpage, NY 11714-5611 | |
| (516) 731-7777 | |
| Not Available |
| Full Name | Nikita Bala |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 4045 Hempstead Tpke, Bethpage, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801620596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 311948-01 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikita Bala, 1 Dakota Dr, New Hyde Park, NY 11042-1135 Ph: () - | Nikita Bala, 4045 Hempstead Tpke, Bethpage, NY 11714-5611 Ph: (516) 731-7777 |
Brendan J. Keys, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-579-6000 | |
Mrs. Elisheva Tratner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Hicksville Rd, Bethpage, NY 11714 Phone: 516-717-1839 | |
Jennifer Lynn Bixhorn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 904-372-3943 Fax: 904-212-1618 | |
Tricia Sullivan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4045 Hempstead Tpke Fl 3, Bethpage, NY 11714 Phone: 516-731-7770 | |
Ms. Melissa Mariconda, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-579-6000 | |
Ms. Maly Tiev, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 185 Central Ave, Bethpage, NY 11714 Phone: 516-758-8600 Fax: 294-559-8139 | |
Kathleen Posillico, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-860-5699 |