Provider Demographics
NPI:1497346381
Name:BELFORT, ASHLEY HILARY (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:HILARY
Last Name:BELFORT
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 AMSTERDAM AVE APT 3M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5035
Mailing Address - Country:US
Mailing Address - Phone:703-226-9248
Mailing Address - Fax:
Practice Address - Street 1:133 W 19TH ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4117
Practice Address - Country:US
Practice Address - Phone:212-380-8130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY346130363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner