Provider Demographics
NPI:1649684366
Name:CUPID, BELINDA
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:CUPID
Suffix:
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 1:720 LENOX AVE
Mailing Address - Street 2:APT 20K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-4403
Mailing Address - Country:US
Mailing Address - Phone:917-224-7774
Mailing Address - Fax:
Practice Address - Street 1:720 LENOX AVE
Practice Address - Street 2:APT 20K
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-4403
Practice Address - Country:US
Practice Address - Phone:917-224-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA688457174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY$$$$$$$$$OtherTEACHER CERTIFICATION