Provider Demographics
NPI:1437168283
Name:DR NISHA K SETHI, MD, PC
Entity Type:Organization
Organization Name:DR NISHA K SETHI, MD, PC
Other - Org Name:NASSAU ID PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NISHA
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:SETHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-565-5200
Mailing Address - Street 1:230 HILTON AVE
Mailing Address - Street 2:STE 18
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-8115
Mailing Address - Country:US
Mailing Address - Phone:516-565-5200
Mailing Address - Fax:516-565-6215
Practice Address - Street 1:230 HILTON AVE
Practice Address - Street 2:STE 18
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-8115
Practice Address - Country:US
Practice Address - Phone:516-565-5200
Practice Address - Fax:516-565-6215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165939207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01148190Medicaid
NYWFW261Medicare ID - Type Unspecified
NY01148190Medicaid