Healthcare Provider Details

I. General information

NPI: 1437448396
Provider Name (Legal Business Name): GUSLENE BELLEUS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GUSLENE MARIE BELLEUS

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date: 10/01/2012
Reactivation Date: 08/12/2020

III. Provider practice location address

17 GLADYS DR
SPRING VALLEY NY
10977-6026
US

IV. Provider business mailing address

17 GLADYS DRIVE
SPRING VALLEY NY
10977
US

V. Phone/Fax

Practice location:
  • Phone: 845-445-5341
  • Fax:
Mailing address:
  • Phone: 845-445-5341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number345827
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number632883
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: