Individual provider · Type 1 NPI

Bettina S. Niederer, MD

Pediatrics Physician · Lake Ronkonkoma, NY

NPI number 1174560684 Active

Practice location

640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324

Call (631) 737-0100 Map

Fax (631) 417-1117

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X136981 (NY)

Pediatrics Physician: A pediatrician 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 de…

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About NPI 1174560684

Bettina S. Niederer, MD's National Provider Identifier is 1174560684, issued on Jun 1, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Jul 13, 2026.