MEDICARE: KAFAYAT A BELLO PA

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	363A00000X	Physician Assistant	032337	NY

General Provider Information

NPI Number	:	1841078904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAFAYAT A BELLO PA

Provider Business Mailing Address
First Line	:	150 E 42ND ST FL 9
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-5699
Country	:	US
Telephone Number	:	646-605-8119
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 KINGS HWY STE 310
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2644
Country	:	US
Telephone Number	:	718-758-1500
Fax Number	:

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

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	03/20/2026

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Directions to “ KAFAYAT A BELLO PA” Practice Location

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