Healthcare Provider Details

I. General information

NPI: 1316356041
Provider Name (Legal Business Name): DANAMARIE BELPULSI MD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2014
Last Update Date: 08/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CENTRAL PARK S SUITE 1 C-D
NEW YORK NY
10019-1628
US

IV. Provider business mailing address

30 CENTRAL PARK S SUITE 1 C-D
NEW YORK NY
10019-1628
US

V. Phone/Fax

Practice location:
  • Phone: 212-371-0468
  • Fax: 212-371-3658
Mailing address:
  • Phone: 212-229-7624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number4058
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number4058
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: