Healthcare Provider Details

I. General information

NPI: 1982872297
Provider Name (Legal Business Name): WILLIAM J. BELLES MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/20/2008
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 DRIVE
TONAWANDA NY
14150
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 Number177476
License Number StateNY

VIII. Authorized Official

Name: DR. WILLIAM J BELLES
Title or Position: OWNER
Credential: MD
Phone: 716-838-1100