Individual
STEVEN EDWIN BEACH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 STATE STREET, WATERTOWN, NY 13601
(315) 755-1251
Mailing address
226 MAIN AVE, WATERTOWN, NY 13601-1926
(786) 779-1135
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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