Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 1774761 | NY |
NPI | 1346275286 |
---|---|
Provider Name | Dr. William J Belles |
First Address | Tonawanda, NY 14150-9478 |
Second Address | Tonawanda, NY 14150-9478 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 02/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1774761 | (05) | NY |
AA0334 | (02) | NY |
E85179 | (02) | NY |