Provider Demographics
NPI:1821505991
Name:BELYAKOVA, ALINA IGOREVNA (LPN)
Entity Type:Individual
Prefix:MISS
First Name:ALINA
Middle Name:IGOREVNA
Last Name:BELYAKOVA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 BLYDENBURG AVE
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1804
Mailing Address - Country:US
Mailing Address - Phone:631-459-9550
Mailing Address - Fax:
Practice Address - Street 1:60 BLYDENBURG AVE
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1804
Practice Address - Country:US
Practice Address - Phone:631-459-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY325679164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse