Organization
MAGDALA BEAUVIL DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALA DOMINIQUE BEAUVIL DO (OWNER)
(917) 715-2855
Entity
Organization
Contact information
Practice address
200 OLD COUNTRY RD, MINEOLA, NY 11501-4235
(917) 715-2855
Mailing address
77 PINE ST, GARDEN CITY, NY 11530-6318
(917) 715-2855
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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