Individual
DR. SUSAN MARIE BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 CRYSTAL RUN RD, HORTON PAVILION, MIDDLETOWN, NY 10940
(845) 343-0616
(845) 343-0617
Mailing address
PO BOX 29, GOSHEN, NY 10924-0029
(845) 615-1141
(845) 294-4366
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
202537
NY
2085R0202X
Diagnostic Radiology Physician
25MA07222300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01666857
—
NY
Enumeration date
07/13/2006
Last updated
12/05/2008
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