Healthcare Provider Details

I. General information

NPI: 1346275286
Provider Name (Legal Business Name): WILLIAM J BELLES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 04/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 SHERIDAN DR
TONAWANDA NY
14150-9478
US

IV. Provider business mailing address

2545 SHERIDAN DR
TONAWANDA NY
14150-9478
US

V. Phone/Fax

Practice location:
  • Phone: 716-838-1100
  • Fax: 716-838-0031
Mailing address:
  • Phone: 716-838-1100
  • Fax: 716-838-0031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number1774761
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: