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NPI Code Detail

MEDICARE: BONNIE BELSER

MEDICARE:   BONNIE  BELSER
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
1172V00000XCommunity Health Worker001774-1NY

General Provider Information

NPI Number : 1790939791
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE BELSER
Provider Business Mailing Address
First Line : 664 ORANGEBURG RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2830
Country : US
Telephone Number : 845-735-3066
Fax Number : 845-735-8243
Provider Business Practice Location Address
First Line : 664 ORANGEBURG RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2830
Country : US
Telephone Number : 845-735-3066
Fax Number : 845-735-8243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2008
Last Update Date : 11/05/2008

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Directions to “ BONNIE BELSER ” Practice Location

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