Provider Demographics
NPI:1649152059
Name:KURIAKOSE, BELVIN J (PHARMD)
Entity type:Individual
Prefix:
First Name:BELVIN
Middle Name:J
Last Name:KURIAKOSE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 OLD COURTHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1227
Mailing Address - Country:US
Mailing Address - Phone:516-376-6720
Mailing Address - Fax:
Practice Address - Street 1:1 HILLCREST CTR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3740
Practice Address - Country:US
Practice Address - Phone:845-356-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072764183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist