Doctor Name: | DR. RICHARD ANTHONY BELLI |
NPI Number: | 1073516092 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 002833 |
Business Practice Address: | 5010 Skillman Ave Woodside, NY - 113774156 |
Business Phone Number: | 7186723421 |
Business Fax Number: | 7186723441 |
Mailing Address: | 5010 Skillman Ave, WOODSIDE |
State: | NY |
Postal Code: | 113774156 |
Phone Number: | 7186723421 |
Fax Number: | 7186723441 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 10/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 002833 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |