Individual
KATHERINE ELIZABETH BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
833 NORTHERN BLVD STE 160, GREAT NECK, NY 11021-5322
(516) 498-8400
Mailing address
833 NORTHERN BLVD STE 160, GREAT NECK, NY 11021-5322
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
003357
CT
363AS0400X
Surgical Physician Assistant
Primary
019955
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114191905
—
NY
Enumeration date
08/03/2015
Last updated
03/31/2026
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