Provider Demographics
NPI:1164497913
Name:BELILOVSKY, ANATOLY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANATOLY
Middle Name:
Last Name:BELILOVSKY
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 1:523 OCEAN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8519
Mailing Address - Country:US
Mailing Address - Phone:718-332-6652
Mailing Address - Fax:718-743-5279
Practice Address - Street 1:523 OCEAN VIEW AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8519
Practice Address - Country:US
Practice Address - Phone:718-332-6652
Practice Address - Fax:718-743-5279
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176593208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E94685Medicare UPIN