Individual
MR. JOHN A BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 687-4179
Mailing address
8 PINEHURST CT, SELDEN, NY 11784-3223
(631) 698-2678
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001222-1
NY
Other
Enumeration date
09/20/2006
Last updated
07/09/2007
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