Provider Demographics
NPI:1235729096
Name:BELZINCE, ERICA (MA)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:
Last Name:BELZINCE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 CLARK PL
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7415
Mailing Address - Country:US
Mailing Address - Phone:862-252-3219
Mailing Address - Fax:
Practice Address - Street 1:1182 STUYVESANT AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1057
Practice Address - Country:US
Practice Address - Phone:973-399-2600
Practice Address - Fax:973-399-5252
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor