MEDICARE: NANCY DAVILA BELENDEZ

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	225XP0200X	Pediatric Occupational Therapist	030875	NY

General Provider Information

NPI Number	:	1982542791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY DAVILA BELENDEZ

Provider Business Mailing Address
First Line	:	559 SENECA AVE APT 1L
Second Line	:
City	:	RIDGEWOOD
State	:	NY
Zip	:	11385-1798
Country	:	US
Telephone Number	:	929-272-6772
Fax Number	:

Provider Business Practice Location Address
First Line	:	559 SENECA AVE APT 1L
Second Line	:
City	:	RIDGEWOOD
State	:	NY
Zip	:	11385-1798
Country	:	US
Telephone Number	:	929-272-6772
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ NANCY DAVILA BELENDEZ ” Practice Location

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