MEDICARE: BURT L. BELL

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	261QP1100X	Podiatric Clinic/Center	N002592	NY

General Provider Information

NPI Number	:	1851577985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURT L. BELL

Provider Business Mailing Address
First Line	:	3065 BRIGHTON 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6407
Country	:	US
Telephone Number	:	718-332-2722
Fax Number	:	718-332-2722

Provider Business Practice Location Address
First Line	:	3065 BRIGHTON 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6407
Country	:	US
Telephone Number	:	718-332-2722
Fax Number	:	718-332-2722

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. BURT LAWRENCE BELL
Credential	:	D.P.M.
Telephone Number	:	17183322722

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	02/25/2008

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