Provider Demographics
NPI:1467892646
Name:BELLIARD, ROSALYNN (MSW)
Entity Type:Individual
Prefix:
First Name:ROSALYNN
Middle Name:
Last Name:BELLIARD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9427 JAMAICA AVE
Mailing Address - Street 2:APT 2F
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-2222
Mailing Address - Country:US
Mailing Address - Phone:347-824-0844
Mailing Address - Fax:
Practice Address - Street 1:1622 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4002
Practice Address - Country:US
Practice Address - Phone:718-327-9001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program