Individual
BEATRICE JEANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 SOUTH LONG BEACH AVE., FREEPORT, NY 11520
(516) 232-1037
Mailing address
619 S LONG BEACH AVE, FREEPORT, NY 11520-6110
(516) 232-1037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
701556-1
NY
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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