Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F300894-1 | NY |
NPI | 1003987637 |
---|---|
Provider Name | Linda Belber |
First Address | Patchogue, NY 11772-2953 |
Second Address | Patchogue, NY 11772-2953 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 08/07/2007 |