Individual
ISSAM BEYDOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1901 1ST AVE # 2A31, NEW YORK, NY 10029-7494
(212) 423-6684
Mailing address
1901 1ST AVE # 2A31, NEW YORK, NY 10029-7494
(212) 423-6684
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
322723
NY
207P00000X
Emergency Medicine Physician
Primary
93621
SC
207P00000X
Emergency Medicine Physician
DO-06771
IA
Other
Enumeration date
04/01/2021
Last updated
06/30/2025
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