Individual
ROBERT L BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 PRESIDENTIAL PLZ, 4TH FLOOR, SYRACUSE, NY 13202-2240
(315) 464-4243
(315) 464-5350
Mailing address
90 PRESIDENTIAL PLZ, 4TH FLOOR, SYRACUSE, NY 13202-2240
(315) 464-4243
(315) 464-5350
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
214136
NY
2084N0600X
Clinical Neurophysiology Physician
214136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01988870
—
NY
Enumeration date
05/03/2006
Last updated
05/06/2010
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