Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 302203 | NY |
NPI | 1003267931 |
---|---|
Provider Name | Kara Alex-Ann Beliard |
First Address | Flushing, NY 11355-2205 |
Second Address | New York, NY 10029-6508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2016 |
Last Update Date | 16/10/2021 |