Individual
BETH ANN JAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
(315) 782-2643
Mailing address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
(315) 782-2643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
307832
NY
208000000X
Pediatrics Physician
307832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891356Y
—
NC
Enumeration date
08/17/2006
Last updated
02/23/2021
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