Individual
VINCENT JOHN BEAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
612 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7317
(718) 338-1904
(718) 258-1122
Mailing address
43 BROOKLYN ST, DEER PARK, NY 11729-1608
(631) 667-0670
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
05/28/2024
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