Provider Demographics
NPI:1215136254
Name:BELLIARD ESTEVEZ, CHRISTIAN ARTURO (MD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:ARTURO
Last Name:BELLIARD ESTEVEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 UNIVERSITY AVE
Mailing Address - Street 2:SUITE # 1-A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-6265
Mailing Address - Country:US
Mailing Address - Phone:646-393-9079
Mailing Address - Fax:646-393-9081
Practice Address - Street 1:2270 UNIVERSITY AVE
Practice Address - Street 2:SUITE # 1-A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-6265
Practice Address - Country:US
Practice Address - Phone:646-393-9079
Practice Address - Fax:646-393-9081
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250412207R00000X
NJ25MA08476500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03128530Medicaid
NJ0181919Medicaid
NJ0181919Medicaid
NJ135466XCXMedicare PIN