Individual
TANIESHA BELVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
(718) 828-2666
Mailing address
944 MONTGOMERY ST APT 2F, BROOKLYN, NY 11213-5724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
607225
NY
363L00000X
Nurse Practitioner
Primary
F310012-01
NY
Other
Enumeration date
12/29/2021
Last updated
02/24/2023
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