Individual
ALTAGRACE BELMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3096 51ST ST, WOODSIDE, NY 11377-1457
(718) 204-1469
(718) 545-1726
Mailing address
3725 HENRY HUDSON PKWY, APT 6C, BRONX, NY 10463-1527
(718) 581-0805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
224137
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02256339
—
NY
Enumeration date
02/20/2007
Last updated
07/08/2007
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