Individual
ANDREW BEAUFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 E 101ST ST, NEW YORK, NY 10029-6528
(201) 418-1000
Mailing address
308 WILLOW AVE, HOBOKEN, NJ 07030-3808
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
303650
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2015
Last updated
08/10/2020
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