Provider Demographics
NPI:1093324733
Name:BELLIN, ELISHEVA SARAH
Entity Type:Individual
Prefix:
First Name:ELISHEVA
Middle Name:SARAH
Last Name:BELLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:YEHOSHAFAT 4
Mailing Address - Street 2:APT 5
Mailing Address - City:JERUSALEM
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:9315204
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:YEHOSHAFAT 4
Practice Address - Street 2:APT 5
Practice Address - City:JERUSALEM
Practice Address - State:ISRAEL
Practice Address - Zip Code:9315204
Practice Address - Country:IL
Practice Address - Phone:201-906-7259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023446103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical