# JONATHAN BEACH DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urgicare of the Northeast
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104023910
- **Authorized official:** DR. JONATHAN CHARLES BEACH DO (PRESIDENT)
- **Authorized official phone:** (518) 563-5900

## Contact information

- **Practice address:** 79 HAMMOND LN, SUITE \#2, PLATTSBURGH, NY 12901-2008
- **Practice address phone:** (518) 563-5900
- **Practice address fax:** (519) 563-5903
- **Mailing address:** 505 DEVILS DEN RD, ALTONA, NY 12910-2018
- **Mailing address phone:** (518) 236-5611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 228601 | NY | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 08/22/2020