Provider Demographics
NPI:1750477527
Name:BELLOMO, CHRISTINE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANN
Last Name:BELLOMO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 W MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1106
Mailing Address - Country:US
Mailing Address - Phone:585-924-3610
Mailing Address - Fax:
Practice Address - Street 1:53 W MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1106
Practice Address - Country:US
Practice Address - Phone:585-924-3610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP030011300OtherBLUE CROSS BLUE SHIELD
NY110948ANOtherPREFERRED CARE
NYP010011300OtherBLUE CHOICE
NYP010011300OtherBLUE CHOICE
NYDD0077Medicare ID - Type UnspecifiedMEDICARE