Belizaire, Moise Kenneth

Belizaire, Moise Kenneth is an sole proprietor health care provider with primary practice located at 140 Old Orangeburg Rd , Orangeburg NY 10962-1157. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Belizaire, Moise Kenneth can be contacted via phone (845) 359-1000.

Contact Information

Primary practice address
140 Old Orangeburg Rd Orangeburg NY 10962-1157
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F402640-1 New York

Profile Details

NPI number 1720631963
LBN Legal business name Belizaire, Moise Kenneth
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2019
Last updated Nov 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720631963 NPPES
New York Other F402640-1 NEW YORK EDUCATION DEPARTMENT

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