Organization
BELLEROSE MEDICALCARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KANAN BAROT (BILLING MANAGER)
(516) 693-0700
Entity
Organization
Contact information
Practice address
8602 MUSKET ST, QUEENS VILLAGE, NY 11427-2718
(718) 776-0555
(718) 776-7271
Mailing address
1100 SHAMES DR, SUITE 100, WESTBURY, NY 11590-1765
(516) 693-0700
(516) 693-0271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
214896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02056100
—
NY
Enumeration date
09/26/2006
Last updated
08/22/2020
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