Healthcare Provider Details

I. General information

NPI: 1255248589
Provider Name (Legal Business Name): MEAGAN BELLI LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 MARBLETOWN RD
NEWARK NY
14513-9401
US

IV. Provider business mailing address

517 MARBLETOWN RD
NEWARK NY
14513-9401
US

V. Phone/Fax

Practice location:
  • Phone: 315-871-8494
  • Fax:
Mailing address:
  • Phone: 315-871-8494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number351303
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: