Provider Demographics
NPI:1386763969
Name:BELMONTE, JONATHAN E (DPT)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:E
Last Name:BELMONTE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-3637
Mailing Address - Country:US
Mailing Address - Phone:631-275-8906
Mailing Address - Fax:
Practice Address - Street 1:5006 VETERANS HWY
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-4514
Practice Address - Country:US
Practice Address - Phone:631-275-8906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029229-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist