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Individual

DR. GRACE BELLOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3248 TIERNEY PLACE, PRIVATE HOUSE, BRONX, NY 10465
(718) 822-1387
(718) 918-0215
Mailing address
3248 TIERNEY PLACE, BRONX, NY 10465
(718) 822-1387
(718) 918-0215

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
089244
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00888573
NY
Enumeration date
01/26/2007
Last updated
07/08/2007
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