Individual
ANTON OSCAR BEITIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-8460
(631) 444-5400
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-5400
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
189541
NY
2085N0700X
Neuroradiology Physician
Primary
189541-1
NY
2085N0904X
Nuclear Radiology Physician
189541-1
NY
2085R0202X
Diagnostic Radiology Physician
189541-1
NY
2085R0202X
Diagnostic Radiology Physician
57519
MN
2085U0001X
Diagnostic Ultrasound Physician
189541-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01886355
—
NY
Enumeration date
11/01/2006
Last updated
01/19/2020
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