Provider Demographics
NPI:1427364603
Name:STEVEN A. BELINKIE, M.D., P.C.
Entity Type:Organization
Organization Name:STEVEN A. BELINKIE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELINKIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-278-3774
Mailing Address - Street 1:1000 ASYLUM AVE
Mailing Address - Street 2:SUITE 2107
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1709
Mailing Address - Country:US
Mailing Address - Phone:860-278-3774
Mailing Address - Fax:860-714-8444
Practice Address - Street 1:1000 ASYLUM AVE
Practice Address - Street 2:SUITE 2107
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1709
Practice Address - Country:US
Practice Address - Phone:860-278-3774
Practice Address - Fax:860-714-8444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0225222086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1477597466OtherINDIVIDUAL TYPE 1 NPI
CTD02591Medicare UPIN