Individual
NICOLE BEAUMONT ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 CLARKSON AVE # 1228, BROOKLYN, NY 11203-2012
(718) 245-3318
Mailing address
450 CLARKSON AVE # 1228, BROOKLYN, NY 11203-2012
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
322963
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
05/18/2023
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