Provider Demographics
NPI:1033362744
Name:BELAIR, MARIE KATHERINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:KATHERINE
Last Name:BELAIR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16751 HINDS RD
Mailing Address - Street 2:
Mailing Address - City:HOLLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14470-9728
Mailing Address - Country:US
Mailing Address - Phone:585-415-7915
Mailing Address - Fax:
Practice Address - Street 1:16751 HINDS RD
Practice Address - Street 2:
Practice Address - City:HOLLEY
Practice Address - State:NY
Practice Address - Zip Code:14470-9728
Practice Address - Country:US
Practice Address - Phone:585-415-7915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-25
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP05774600164W00000X
NY269777164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse