Healthcare Provider Details

I. General information

NPI: 1871066670
Provider Name (Legal Business Name): HEATHER GREER BELDING-WILSON R.D., D.D.N
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2019
Last Update Date: 01/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 FIREMEN'S WAY
POUGHKEEPSIE NY
12603
US

IV. Provider business mailing address

76 FIREMEN'S WAY
POUGHKEEPSIE NY
12603
US

V. Phone/Fax

Practice location:
  • Phone: 845-452-9220
  • Fax: 845-454-2701
Mailing address:
  • Phone: 845-452-9220
  • Fax: 845-454-2701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number003386
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: