Provider Demographics
NPI:1992803951
Name:BELMONT, RENEE JOAN (ATR BC)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:JOAN
Last Name:BELMONT
Suffix:
Gender:F
Credentials:ATR BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16015 POWELLS COVE BLVD
Mailing Address - Street 2:APT D3
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357
Mailing Address - Country:US
Mailing Address - Phone:718-746-1455
Mailing Address - Fax:
Practice Address - Street 1:16015 POWELLS COVE BLVD
Practice Address - Street 2:APT D3
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357
Practice Address - Country:US
Practice Address - Phone:718-746-1455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0005331221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist