1255404380 NPI number — DR. NICOLE BELL M.D.

Table of content: DR. NICOLE BELL M.D. (NPI 1255404380)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255404380 NPI number — DR. NICOLE BELL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELL
Provider First Name:
NICOLE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255404380
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
410 LAKEVILLE RD
Provider Second Line Business Mailing Address:
SUITE 305
Provider Business Mailing Address City Name:
NEW HYDE PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11042-1101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-437-4300
Provider Business Mailing Address Fax Number:
516-437-2033

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
410 LAKEVILLE RD
Provider Second Line Business Practice Location Address:
SUITE 305
Provider Business Practice Location Address City Name:
NEW HYDE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11042-1101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-437-4300
Provider Business Practice Location Address Fax Number:
516-437-2033
Provider Enumeration Date:
11/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  228147 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 228147 . This is a "VYTRA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 239046933 . This is a "NBF 1199" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P3212175 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0297081 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5C5812 . This is a "HEALTH NET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: UNITED . This is a "3440779" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3838506 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5683835 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 141802089 . This is a "GUARDIAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 228147 . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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