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 . 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 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 (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 NumberSpecializationStateStatus
403564Psych/Mental Health New YorkPrimary
621055-1Registered Nurse New YorkSecondary
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.
IdentifierTypeStateIssuer
1114301728OtherNew YorkNPI
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:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.