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NPI Code Detail

MEDICARE: BRIAN BELFI PSY.D.

MEDICARE: BRIAN BELFI PSY.D.
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
1103TC0700XClinical Psychologist016028NY

General Provider Information

NPI Number : 1801842950
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN BELFI PSY.D.
Provider Business Mailing Address
First Line : 1 OLD COUNTRY RD
Second Line : SUITE 271
City : CARLE PLACE
State : NY
Zip : 11514-1801
Country : US
Telephone Number : 800-725-6280
Fax Number : 800-725-6380
Provider Business Practice Location Address
First Line : 7005 35TH AVE
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-3970
Country : US
Telephone Number : 718-662-5100
Fax Number : 718-662-5102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/08/2007

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