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Individual

DR. BRUCE A BEESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 PATROON CREEK BLVD, SUITE 210, ALBANY, NY 12206-5013
(518) 459-8106
Mailing address
400 PATROON CREEK BLVD, SUITE 210, ALBANY, NY 12206-5013
(518) 459-8106

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
197578
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01813038
NY
Enumeration date
05/10/2006
Last updated
11/06/2012
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