# NADINE S. BEACH DC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083968408
- **Authorized official:** NADINE BEACH (CHIROPRACTOR)
- **Authorized official phone:** (631) 422-6675

## Contact information

- **Practice address:** 972 SUNRISE HWY, WEST BABYLON, NY 11704-6110
- **Practice address phone:** (631) 422-6675
- **Practice address fax:** (631) 422-6718
- **Mailing address:** 972 SUNRISE HWY, WEST BABYLON, NY 11704-6110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X010939-1 | NY | Yes |

## Other

- **Enumeration date:** 11/07/2012
- **Last updated:** 11/07/2012