Individual
CORDIA L BEVERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1085 PARK AVE, SUITE 1N, NEW YORK, NY 10128-1168
(212) 876-1886
Mailing address
1085 PARK AVE, SUITE 1N, NEW YORK, NY 10128-1168
(212) 876-1886
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
130612
NY
Other
Enumeration date
02/13/2007
Last updated
04/18/2008
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