Individual
MRS. AMIRA BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6928 HESSLER AVE, ARVERNE, NY 11692-1060
(646) 319-3561
Mailing address
6928 HESSLER AVE, ARVERNE, NY 11692-1060
(646) 319-3561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25597
NY
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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