Individual
DR. NICHOLAS RUSSELL BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 224-7951
(212) 224-7955
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1619234507
NY
Other
Enumeration date
04/16/2012
Last updated
10/06/2022
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