Individual
CHRISTINE JILL BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR STE LL105108, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
34 VERONICA LN, NORTH BABYLON, NY 11703-5111
(631) 321-0440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
592863
NY
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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