Provider Demographics
NPI:1023859345
Name:BELLAMY, WANDA CARLA (MD)
Entity type:Individual
Prefix:DR
First Name:WANDA
Middle Name:CARLA
Last Name:BELLAMY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3439 KNOX PL APT 4H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2044
Mailing Address - Country:US
Mailing Address - Phone:718-530-4320
Mailing Address - Fax:
Practice Address - Street 1:1250 WATERS PL STE PH
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:347-842-1707
Practice Address - Fax:917-962-5410
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
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Provider Licenses
StateLicense IDTaxonomies
NYP124857208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology