Individual
JOCELYN C BEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
214 CHURCH ST, CARTHAGE, NY 13619-1212
(315) 493-0128
(315) 493-6200
Mailing address
214 CHURCH ST, CARTHAGE, NY 13619-1295
(315) 493-0128
(315) 493-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
162522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00896951
—
NY
01
—
162522
STATE LICENSE NUMBER
NY
Enumeration date
02/02/2006
Last updated
03/07/2023
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