Provider Demographics
NPI:1043369515
Name:BELDING, SCOTT (PT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:BELDING
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 JERICHO TPKE
Mailing Address - Street 2:SUITE 114W
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4436
Mailing Address - Country:US
Mailing Address - Phone:516-364-2554
Mailing Address - Fax:516-364-5328
Practice Address - Street 1:6800 JERICHO TPKE
Practice Address - Street 2:SUITE 114W
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4436
Practice Address - Country:US
Practice Address - Phone:516-364-2554
Practice Address - Fax:516-364-5328
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8664225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ79421OtherBLUE CROSS PIN NUMBER
NYQ79421Medicare PIN
NYA400003332Medicare PIN