Individual
JEREMY R BEITLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
257012
NY
207RP1001X
Pulmonary Disease Physician
257012
NY
Other
Enumeration date
05/05/2008
Last updated
01/18/2022
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