Provider Demographics
NPI:1164457958
Name:BELDING, ALFRED P (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:P
Last Name:BELDING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BROOKSITE DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3400
Mailing Address - Country:US
Mailing Address - Phone:631-724-1331
Mailing Address - Fax:631-360-5646
Practice Address - Street 1:9 BROOKSITE DR
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3400
Practice Address - Country:US
Practice Address - Phone:631-724-1331
Practice Address - Fax:631-360-5646
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127717207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00277945Medicaid
NY00277945Medicaid
NY341731Medicare ID - Type Unspecified