Individual
MINA BESHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
970 BARD AVE, STATEN ISLAND, NY 10301-3322
(718) 717-8033
Mailing address
42 SUSANNA LN, STATEN ISLAND, NY 10312-1345
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00354600
NJ
213ES0131X
Foot Surgery Podiatrist
Primary
N007055
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
01/24/2021
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