Provider Demographics
NPI:1871066670
Name:BELDING-WILSON, HEATHER GREER (RD, DDN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:GREER
Last Name:BELDING-WILSON
Suffix:
Gender:F
Credentials:RD, DDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 FIREMEN'S WAY
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603
Mailing Address - Country:US
Mailing Address - Phone:845-452-9220
Mailing Address - Fax:845-454-2701
Practice Address - Street 1:76 FIREMEN'S WAY
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603
Practice Address - Country:US
Practice Address - Phone:845-452-9220
Practice Address - Fax:845-454-2701
Is Sole Proprietor?:No
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003386133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered