Organization
ANATOLY BELILOVSKY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANATOLY BELILOVSKY MD (MEDICAL DIRECTOR)
(718) 815-7050
Entity
Organization
Contact information
Practice address
690 BAY ST, STATEN ISLAND, NY 10304-3830
(718) 815-7050
(718) 815-4889
Mailing address
690 BAY ST, STATEN ISLAND, NY 10304-3830
(718) 815-7050
(718) 815-4889
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
176593
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01155691
—
NY
Enumeration date
11/18/2008
Last updated
11/18/2008
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