Individual
JIM BELOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
20 PEEKSKILL ST, ELMONT, NY 11003-4916
(516) 712-8027
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
291728
NY
208600000X
Surgery Physician
TP107185
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
09/01/2011
Last updated
03/17/2018
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