Individual
DR. JOHN ANGELO BEALLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1700 GRAND AVE, NORTH BALDWIN, NY 11510-1801
(516) 379-3204
Mailing address
2718 BELCHER ST, BALDWIN, NY 11510-3937
(516) 445-8949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059250
NY
Other
Enumeration date
05/05/2016
Last updated
07/24/2020
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