Provider Demographics
NPI:1750451407
Name:ALOYTS, BELLA (DO)
Entity Type:Individual
Prefix:
First Name:BELLA
Middle Name:
Last Name:ALOYTS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-3730
Mailing Address - Country:US
Mailing Address - Phone:718-621-0800
Mailing Address - Fax:718-621-0296
Practice Address - Street 1:6401 18TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-3730
Practice Address - Country:US
Practice Address - Phone:718-621-0800
Practice Address - Fax:718-621-0296
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209349207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01934087Medicaid
NY10V971Medicare PIN
NY01934087Medicaid