Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 006244 | NY |
NPI | 1215115407 |
---|---|
Provider Name | Irina Belder |
First Address | Brooklyn, NY 11234-6411 |
Second Address | Brooklyn, NY 11224-1510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2008 |
Last Update Date | 15/03/2017 |