Provider Demographics
NPI:1770916694
Name:BELMONT, KAROL ANN (NP)
Entity type:Individual
Prefix:MRS
First Name:KAROL
Middle Name:ANN
Last Name:BELMONT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:565 BARCLAY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-5918
Mailing Address - Country:US
Mailing Address - Phone:718-948-1081
Mailing Address - Fax:718-948-1081
Practice Address - Street 1:565 BARCLAY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-5918
Practice Address - Country:US
Practice Address - Phone:718-948-1081
Practice Address - Fax:718-948-1081
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340407363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology