Healthcare Provider Details

I. General information

NPI: 1215263363
Provider Name (Legal Business Name): LINDA LOUISE BELNAVIS F. N. P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2009
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 BRADLEY AVENUE GOLDEN GATE NURSING HOME
STATEN ISLAND NY
10314
US

IV. Provider business mailing address

97 NEW DORP LN 2ND FLOOR
STATEN ISLAND NY
10306-2359
US

V. Phone/Fax

Practice location:
  • Phone: 718-698-8800
  • Fax: 718-667-9711
Mailing address:
  • Phone: 718-876-6220
  • Fax: 718-876-5969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberF335813
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: