Individual
JESSICA ROSE BEITSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SKYLINE DR, HAWTHORNE, NY 10532-2152
(914) 347-5990
Mailing address
17 NEW CHALET DR, MOHEGAN LAKE, NY 10547-1676
(914) 413-9102
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
1757578231
NY
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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