Provider Demographics
NPI:1043544216
Name:BELLO, KAFAYAT A (NP)
Entity type:Individual
Prefix:MRS
First Name:KAFAYAT
Middle Name:A
Last Name:BELLO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 POWELL PL
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-6309
Mailing Address - Country:US
Mailing Address - Phone:516-485-3536
Mailing Address - Fax:516-485-3536
Practice Address - Street 1:102 POWELL PL
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-6309
Practice Address - Country:US
Practice Address - Phone:516-485-3536
Practice Address - Fax:516-485-3536
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY604936-1163W00000X
NYF308255-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse