Healthcare Provider Details

I. General information

NPI: 1336184555
Provider Name (Legal Business Name): ALFRED BELDING MD & JOHN FRANCO MD & F GLEASON MD & J DRAGONE MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 07/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 BROOKSITE DR
SMITHTOWN NY
11787-3400
US

IV. Provider business mailing address

9 BROOKSITE DR SUITE
SMITHTOWN NY
11787
US

V. Phone/Fax

Practice location:
  • Phone: 631-724-1331
  • Fax: 631-360-5646
Mailing address:
  • Phone: 631-724-1331
  • Fax: 631-360-5646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number231689
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. RITA MARTIN
Title or Position: OFFICE MANAGER
Credential:
Phone: 631-724-1331