Brook, Bellamy
Brook, Bellamy is an sole proprietor health care provider with primary practice located at 300 Old Country Rd Ste 2 , Riverhead NY 11901-2146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brook, Bellamy can be contacted via phone (631) 405-5544.Contact Information
Primary practice address
300 Old Country Rd Ste 2
Riverhead NY 11901-2146
Phone: (631) 405-5544
Fax: (800) 627-1462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 215053-1 | New York |
Profile Details
| NPI number | 1477511749 |
|---|---|
| LBN Legal business name | Brook, Bellamy |
| Credentials | D.O. P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477511749 | NPPES |
| New York | Other | 215053-1 | STATE PROFESSIONAL LICENS |
| New York | Other | 11541228 | STATE PROFESSIONAL LICENS |
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