Individual
MRS. AMY REBECCA BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1684 FOOTE AVENUE EXT, JAMESTOWN, NY 14701-9385
(716) 661-9730
(716) 661-9732
Mailing address
1684 FOOTE AVENUE EXT, JAMESTOWN, NY 14701-9385
(716) 661-9730
(716) 661-9732
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3308961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026507402
UNIVERA
—
01
—
000560438003
COMM BLUE
—
05
—
01568501
—
NY
01
—
161570481
TAX ID
—
01
—
9511745
INDEP HEALTH
—
01
—
CA8673
RAILROAD MEDICARE
—
01
—
F3308961
LIC
NY
01
—
P00131876
RAILROAD MEDICARE
—
Enumeration date
03/03/2006
Last updated
03/07/2023
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