Mrs. Erewarifagha Minini Haidome
PMHNP-BC | Nurse Practitioner | 4+ years Exp
14036 170th St, Jamaica
New York, 11434-4632
347-843-7760
Accepts Medicare Nurse Anesthetist in Jamaica, New York.Mrs. Erewarifagha Minini Haidome is a Jamaica, New York based nurse practitioner with 4 years of experience in Nurse Practitioner. She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Erewarifagha Minini Haidome is 403564 for Psych/Mental Health in New York. Her current practice location is 14036 170th St, Jamaica. Patients can reach her at 347-843-7760. Mrs. Erewarifagha Minini Haidome is PMHNP-BC with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1114301728.
Mrs. Erewarifagha Minini Haidome has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Erewarifagha Minini Haidome speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Erewarifagha Minini Haidome |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | PMHNP-BC |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 14036 170th St, Jamaica, New York, 11434-4632 |
| Phone: | 347-843-7760 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7911399845 |
| Enrollment ID: | I20220126001024 |
| NPI Number: | 1114301728 |
| NPI Enumeration Date: | 13 Jul, 2015 |
| NPI Last Update On: | 02 Nov, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Erewarifagha Minini Haidome are as mentioned below.
| License Number | Specialization | State | Status | |
| 403564 | Psych/Mental Health | New York | Primary | |
| 621055-1 | Registered Nurse | New York | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Erewarifagha Minini Haidome is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| The Guidance Center Of Westchester, Inc (8325939432) | 9 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Erewarifagha Minini Haidome such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1114301728 | Other | New York | NPI |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Erewarifagha Minini Haidome 3963 Murdock Ave, Bronx, New York |
| Zip: | 10466-2442 |
| Phone Number: | 347-281-0304 |
Patients can reach Mrs. Erewarifagha Minini Haidome at
14036 170th St, Jamaica, New York or can
call to book an appointment on 347-843-7760.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.