Individual
DR. DAVID W. BEAUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
855 VAN WAGNER RD, POUGHKEEPSIE, NY 12601-6505
(845) 485-7990
Mailing address
855 VAN WAGNER RD, POUGHKEEPSIE, NY 12601-6505
(845) 485-7990
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
06874
NY
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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