Individual
SANDRA BEYSOLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 KARBE PL, DIX HILLS, NY 11746-4608
(631) 423-4178
Mailing address
7 KARBE PL, DIX HILLS, NY 11746-4608
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001909
NY
Other
Enumeration date
06/07/2014
Last updated
06/07/2014
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