Provider Demographics
NPI:1942843123
Name:WILKINSON, BELINDA B VIII
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:B
Last Name:WILKINSON
Suffix:VIII
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 274
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-0274
Mailing Address - Country:US
Mailing Address - Phone:845-471-4700
Mailing Address - Fax:
Practice Address - Street 1:1081 ROUTE 55
Practice Address - Street 2:
Practice Address - City:LAGRANGEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12540-5004
Practice Address - Country:US
Practice Address - Phone:845-471-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22WI01729101744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management