Individual
REID DANIEL BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
83 GENESEE ST, NEW HARTFORD, NY 13413-2472
(315) 792-7629
Mailing address
PO BOX 673, NEW HARTFORD, NY 13413-0673
(315) 792-7629
(315) 792-3617
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
026020
NY
Other
Enumeration date
12/08/2020
Last updated
01/08/2021
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