Individual
MRS. LAURA A BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
61 MIDLAND AVE, MASTIC, NY 11950-2308
(631) 772-8941
Mailing address
61 MIDLAND AVE, MASTIC, NY 11950-2308
(631) 772-8941
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
661944
NY
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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