Provider Demographics
NPI:1477319416
Name:ROCKLAND WELLNESS FAMILY HEALTH NP RN PLLC
Entity Type:Organization
Organization Name:ROCKLAND WELLNESS FAMILY HEALTH NP RN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-827-3528
Mailing Address - Street 1:11 MEDICAL PARK DR STE 104
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3559
Mailing Address - Country:US
Mailing Address - Phone:845-827-3528
Mailing Address - Fax:
Practice Address - Street 1:11 MEDICAL PARK DR STE 104
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3559
Practice Address - Country:US
Practice Address - Phone:845-827-3528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty