Individual
DONNA BEICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SULLIVAN STREET, WURTSBORO, NY 12790-1279
(845) 644-5062
Mailing address
PO BOX 8, WURTSBORO, NY 12790-0008
(845) 644-5062
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03849263
—
NY
Enumeration date
07/22/2019
Last updated
07/22/2019
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