Provider Demographics
NPI:1225189053
Name:BELKIN, BETH BROADWIN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:BROADWIN
Last Name:BELKIN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:14 HARWOOD CT
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4121
Mailing Address - Country:US
Mailing Address - Phone:914-472-3041
Mailing Address - Fax:914-725-1539
Practice Address - Street 1:14 HARWOOD CT
Practice Address - Street 2:SUITE 215
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4121
Practice Address - Country:US
Practice Address - Phone:914-472-3041
Practice Address - Fax:914-725-1539
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1748172084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry