Provider Demographics
NPI:1295183226
Name:BELMONT, AMI PEARL (MD)
Entity Type:Individual
Prefix:DR
First Name:AMI
Middle Name:PEARL
Last Name:BELMONT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMI
Other - Middle Name:PEARL
Other - Last Name:BELMONT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15 YORK ST
Mailing Address - Street 2:LMP 1091B, YNHH INTERNAL MEDICINE/PEDIATRICS
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3221
Mailing Address - Country:US
Mailing Address - Phone:203-785-7941
Mailing Address - Fax:
Practice Address - Street 1:15 YORK ST
Practice Address - Street 2:LMP 1091B, YNHH INTERNAL MEDICINE/PEDIATRICS
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3221
Practice Address - Country:US
Practice Address - Phone:203-785-7941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT65019208000000X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program