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Individual

BEAUVAL ARISTIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5 MIMOSA ST, MILLER PLACE, NY 11764-3038
(347) 413-9976
Mailing address
1357 KIEFER AVE, ELMONT, NY 11003-3232
(347) 417-3681

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
632195
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402521-1
NY

Other

Enumeration date
03/30/2011
Last updated
11/08/2018
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