MEDICARE: DR. HAL BELOK DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	060942	NY

General Provider Information

NPI Number	:	1093297582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAL BELOK DDS

Provider Business Mailing Address
First Line	:	36 W 44TH ST STE 905
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-8104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 W 44TH ST STE 905
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-8104
Country	:	US
Telephone Number	:	201-417-7347
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2018
Last Update Date	:	09/21/2020

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Directions to “ DR. HAL BELOK DDS” Practice Location

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