MEDICARE: SCOTT BELDING PT

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	225100000X	Physical Therapist	8664	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q79421	OTHER	NY	BLUE CROSS PIN NUMBER

General Provider Information

NPI Number	:	1043369515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT BELDING PT

Provider Business Mailing Address
First Line	:	6800 JERICHO TPKE
Second Line	:	SUITE 114W
City	:	SYOSSET
State	:	NY
Zip	:	11791-4436
Country	:	US
Telephone Number	:	516-364-2554
Fax Number	:	516-364-5328

Provider Business Practice Location Address
First Line	:	6800 JERICHO TPKE
Second Line	:	SUITE 114W
City	:	SYOSSET
State	:	NY
Zip	:	11791-4436
Country	:	US
Telephone Number	:	516-364-2554
Fax Number	:	516-364-5328

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	11/07/2008

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Directions to “ SCOTT BELDING PT” Practice Location

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