Individual
CORINNE BEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
240 GRAND BLVD, MASSAPEQUA PARK, NY 11762-2140
(516) 659-4269
Mailing address
240 GRAND BLVD, MASSAPEQUA PARK, NY 11762-2140
(516) 659-4269
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022211
NY
Other
Enumeration date
08/01/2018
Last updated
01/10/2024
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