Provider Demographics
NPI:1386399491
Name:BELLONY, ANTHEA (MS, RD, CSR)
Entity type:Individual
Prefix:MS
First Name:ANTHEA
Middle Name:
Last Name:BELLONY
Suffix:
Gender:F
Credentials:MS, RD, CSR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9720 TRAVER ST
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1868
Mailing Address - Country:US
Mailing Address - Phone:718-838-0714
Mailing Address - Fax:
Practice Address - Street 1:9720 TRAVER ST
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-1868
Practice Address - Country:US
Practice Address - Phone:718-838-0714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty