Organization
VIRGINIA BEATON FNP- FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA BEATON (COMPANY OWNER/ NURSE PRACTIONER)
(631) 499-3223
Entity
Organization
Contact information
Practice address
16 PINE RIDGE DR, SMITHTOWN, NY 11787-4024
(631) 499-3223
(631) 486-4531
Mailing address
16 PINE RIDGE DR, SMITHTOWN, NY 11787-4024
(631) 499-3223
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
F334054-1
NY
Other
Enumeration date
09/12/2013
Last updated
12/27/2013
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