Gregory Robert Bellantonio, MSW
Individual provider Active NPI Social Worker · Freeport, NY
NPI 1740051119 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1740051119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 114 Church St
Freeport, NY 11520-3833 - Phone
- (516) 868-3030
- NPI assigned
- Jan 12, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Child Association Incorporated | Current |
Accepting new patients | |
| South Shore Child Association Incorporated | Current |
Accepting new patients |
Locations
114 Church St
Freeport, NY 11520
Phone (516) 868-3030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
114 Church St
Freeport, NY 11520-3833
Mailing address
160 Cecil Ave
Bay Shore, NY 11706-1144
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.