Individual
MRS. CHARA ALEASHA BEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
Mailing address
102 BRANDYWINE TER, ROCHESTER, NY 14623-5252
(585) 719-7536
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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