Healthcare Provider Details

I. General information

NPI: 1588593032
Provider Name (Legal Business Name): SOPHIA BELMONTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 CHURCH ST
GREENWICH CT
06830-5624
US

IV. Provider business mailing address

67 CHURCH ST
GREENWICH CT
06830-5624
US

V. Phone/Fax

Practice location:
  • Phone: 845-661-4205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number852916
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: