Organization
JONATHAN BEACH DO PLLC
Active
Other names
Urgicare of the Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CHARLES BEACH DO (PRESIDENT)
(518) 563-5900
Entity
Organization
Contact information
Practice address
79 HAMMOND LN, SUITE #2, PLATTSBURGH, NY 12901-2008
(518) 563-5900
(519) 563-5903
Mailing address
505 DEVILS DEN RD, ALTONA, NY 12910-2018
(518) 236-5611
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
228601
NY
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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