Provider Demographics
NPI:1336184555
Name:ALFRED BELDING MD & JOHN FRANCO MD & F GLEASON MD & J DRAGONE MD
Entity Type:Organization
Organization Name:ALFRED BELDING MD & JOHN FRANCO MD & F GLEASON MD & J DRAGONE MD
Other - Org Name:BELDING FRANCO GLEUSON DRAGME OBRIEN
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-724-1331
Mailing Address - Street 1:9 BROOKSITE DR
Mailing Address - Street 2:SUITE
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:631-724-1331
Mailing Address - Fax:631-360-5646
Practice Address - Street 1:9 BROOKSITE DR
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3400
Practice Address - Country:US
Practice Address - Phone:631-724-1331
Practice Address - Fax:631-360-5646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231689173000000X
207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02639114Medicaid
NY1157P1Medicare UPIN
NYI22210Medicare UPIN