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:2025-08-20
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
NY131828429OtherHIP HEALTHCARE PARTNERS
NY9062538OtherCIGNA HEALTHCARE
NYON25343OtherMDNY
NY1356437560OtherOTHER
NY191999OtherHIP FAMILY HEALTH PLUS
NYP3555372OtherOXFORD
NYSB644X91OtherEMPIRE BC/BS
NY5C4700OtherHEALTHNET
NY0112362OtherGHI
NY01423261Medicaid
NY3451146OtherAETNA HEALTH PLANS