Individual
BEATRIZ WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
271 DOUGHTY BLVD, INWOOD, NY 11096-2135
(516) 371-6884
Mailing address
271 DOUGHTY BLVD, INWOOD, NY 11096-2135
(516) 371-6884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020457
NY
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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