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Individual

BEAU BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
366 BROADWAY, AMITYVILLE, NY 11701-2784
(631) 960-5060
(347) 527-1775
Mailing address
366 BROADWAY, AMITYVILLE, NY 11701-2711
(631) 960-5060
(631) 698-7714

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
739576
NY
163W00000X
Registered Nurse
95183714
CA
163W00000X
Registered Nurse
RN9542421
FL
363L00000X
Nurse Practitioner
310774
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310774
NY

Other

Enumeration date
07/01/2021
Last updated
02/17/2026
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