Provider Demographics
NPI:1245625656
Name:BELLIA, ROBERT A JR (HAD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:BELLIA
Suffix:JR
Gender:M
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 E SUNSET RD
Mailing Address - Street 2:UNIT 5-260
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3511
Mailing Address - Country:US
Mailing Address - Phone:702-798-0113
Mailing Address - Fax:866-291-5242
Practice Address - Street 1:556 MERRICK RD
Practice Address - Street 2:LL-1
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5487
Practice Address - Country:US
Practice Address - Phone:516-596-3277
Practice Address - Fax:516-596-3270
Is Sole Proprietor?:No
Enumeration Date:2015-04-02
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000007388237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist