MEDICARE: DR. YUSUF KHALID BHATTI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	LL756	MD
2	1223P0221X	Pediatric Dentistry	058536	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316353204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUSUF KHALID BHATTI DMD

Provider Business Mailing Address
First Line	:	1130 RIVERFRONT CTR
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-4600
Country	:	US
Telephone Number	:	518-992-5437
Fax Number	:	518-348-8888

Provider Business Practice Location Address
First Line	:	1130 RIVERFRONT CTR
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-4600
Country	:	US
Telephone Number	:	518-992-5437
Fax Number	:	518-348-8888

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2014
Last Update Date	:	03/11/2025

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