Individual
MR. ROBERT BEACH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6423 ROUTE 55, WINGDALE, NY 12594-1501
(845) 350-3010
Mailing address
6423 ROUTE 55, WINGDALE, NY 12594-1501
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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