| Doctor Name: | MS. MARY ANNE N BELANGER |
| NPI Number: | 1508051632 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 3309721 |
| Business Practice Address: | 123 N White Rock Rd Holmes, NY - 125315412 |
| Business Phone Number: | 8458559338 |
| Business Fax Number: | |
| Mailing Address: | 123 N White Rock Rd, HOLMES |
| State: | NY |
| Postal Code: | 125315412 |
| Phone Number: | 8458559338 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 09/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0600X |
| License Number: | 3309721 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |