Provider Demographics
NPI:1194823765
Name:ALBERT H. BELFIE, DO, PC
Entity Type:Organization
Organization Name:ALBERT H. BELFIE, DO, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:BELFIE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-228-2733
Mailing Address - Street 1:39200 GARFIELD RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-4095
Mailing Address - Country:US
Mailing Address - Phone:586-228-2733
Mailing Address - Fax:586-228-2773
Practice Address - Street 1:39200 GARFIELD RD
Practice Address - Street 2:SUITE C
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-4095
Practice Address - Country:US
Practice Address - Phone:586-228-2733
Practice Address - Fax:586-228-2773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION77050Medicare ID - Type Unspecified
MIE76069Medicare UPIN