Individual
ELIZABETH BELANFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02449154
MEDICAD #
NY
01
—
1285628552
AGENCY
NY
01
—
WVE061
MEDICARE #
NY
Enumeration date
10/10/2014
Last updated
11/06/2015
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