Individual
JONATHAN BELLIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
269 ANDREWS ST, MASSENA, NY 13662-3401
(315) 769-8950
Mailing address
269 ANDREWS ST, MASSENA, NY 13662-3401
(315) 769-8950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
051740
NY
225100000X
Physical Therapist
051740
NY
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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