Healthcare Provider Details

I. General information

NPI: 1831994078
Provider Name (Legal Business Name): SARA BELLAMENTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 OCEAN AVE
LYNBROOK NY
11563-1900
US

IV. Provider business mailing address

525 N INDIANA AVE
LINDENHURST NY
11757-3426
US

V. Phone/Fax

Practice location:
  • Phone: 516-256-0088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number036422
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: