Organization
BEACH PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH PISCITELLI (PRACTICE MANAGER)
(516) 897-5000
Entity
Organization
Contact information
Practice address
312 LONG BEACH RD, ISLAND PARK, NY 11558-1510
(516) 897-5000
Mailing address
312 LONG BEACH RD, ISLAND PARK, NY 11558-1510
(516) 897-5000
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
152926
NY
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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