Healthcare Provider Details

I. General information

NPI: 1083668164
Provider Name (Legal Business Name): BELLMORE MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2631 MERRICK RD SUITE 101
BELLMORE NY
11710-5784
US

IV. Provider business mailing address

2631 MERRICK RD SUITE 101
BELLMORE NY
11710-5784
US

V. Phone/Fax

Practice location:
  • Phone: 516-785-6677
  • Fax: 516-785-6912
Mailing address:
  • Phone: 516-785-6677
  • Fax: 516-785-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number096896
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number236616
License Number StateNY

VIII. Authorized Official

Name: DR. PAUL KRAMER
Title or Position: OWNER
Credential: M.D.
Phone: 516-785-6677