| Nisha Lakhani Md Pc | |
|
445 Route 304 Bardonia NY 10954-1614 | |
| (845) 624-2929 | |
| (845) 624-2930 |
| Full Name | Nisha Lakhani Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 445 Route 304, Bardonia, New York |
| Authorized Official Name and Position | Nisha Lakhani (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8456242929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisha Lakhani Md Pc 445 Route 304 Bardonia NY 10954-1614 Ph: (845) 624-2929 | Nisha Lakhani Md Pc 445 Route 304 Bardonia NY 10954-1614 Ph: (845) 624-2929 |
| NPI Number | 1023243318 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 4385797133 |
|---|---|
| Medicare Enrollment ID | O20090728000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023243318 | NPI | - | NPPES |
| 03170303 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 205907 (New York) | Primary |
| Provider Name | Nisha Lakhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336158609 PECOS PAC ID: 1850444605 Enrollment ID: I20090728000063 |
Cerlar Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Ny 304, Suite 204, Bardonia, NY 10954 Phone: 845-533-0270 Fax: 845-623-3714 |