Individual
BEENA IYPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 47TH AVE FL 7, LONG ISLAND CITY, NY 11101-3433
(000) 000-0000
Mailing address
3030 47TH AVE FL 7, LONG ISLAND CITY, NY 11101-3433
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
273285
NY
Other
Enumeration date
04/12/2011
Last updated
04/01/2022
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