Individual
PHILAINE BEAUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
574 MACON PL, UNIONDALE, NY 11553-2829
(516) 279-5404
Mailing address
574 MACON PL, UNIONDALE, NY 11553-2829
(516) 279-5404
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
343196341211E
NY
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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