Individual
MS. AJA NICOLE BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 374-8700
Mailing address
91 GRAND AVE, MIDDLETOWN, NY 10940-3833
(845) 741-9602
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
703831
NY
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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