Individual
BRYAN BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GUSTAVE L. PLACE, BOX 1149, NEW YORK, NY 10029
(212) 824-8069
Mailing address
61 MIDLAND AVE, MASTIC, NY 11950-2308
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A172312
CA
Other
Enumeration date
04/18/2017
Last updated
08/04/2021
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