Individual
MRS. ELLIE SLIVKO BEATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
865 NORTHERN BLVD STE 101, GREAT NECK, NY 11021-5310
(516) 622-5062
Mailing address
109 AVENUE C, PORT WASHINGTON, NY 11050-2401
(516) 472-0021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F344807-01
NY
Other
Enumeration date
09/29/2019
Last updated
09/29/2019
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