Provider Demographics
NPI:1316264583
Name:BELONY, LYONEL DAVID JR (PHARMACIST)
Entity type:Individual
Prefix:DR
First Name:LYONEL
Middle Name:DAVID
Last Name:BELONY
Suffix:JR
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 BARRY DR
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-2801
Mailing Address - Country:US
Mailing Address - Phone:516-770-5798
Mailing Address - Fax:
Practice Address - Street 1:1600 WALT WHITMAN RD
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3088
Practice Address - Country:US
Practice Address - Phone:516-770-5798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054285183500000X
NJ28RI03318500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist