National Provider Identifier
Mary Beach
Mary Beach is listed in the NPPES registry with a primary specialty of Specialist in Fredonia, NY and a listed phone number of (716) 785-0475.
Source: public NPPES record, last updated January 26, 2015. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1447640719
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- January 26, 2015
- Last Updated
- January 26, 2015
Practice Location
- 143 Howard St
- Fredonia, NY 14063-2103
Phone: (716) 785-0475
Specialties
- Specialist (174400000X)
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Biography
The NPPES record for Mary Beach lists Specialist as the primary taxonomy and Fredonia, NY as the practice location.
Full Record
- NPI
- 1447640719
- Entity Type
- Individual
- Last Name
- Beach
- First Name
- Mary
- Mailing Street Address
- 143 Howard St
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-2103
- Mailing Country
- US
- Mailing Phone
- (716) 785-0475
- Practice Street Address
- 143 Howard St
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-2103
- Practice Country
- US
- Practice Phone
- (716) 785-0475
- Enumeration Date
- January 26, 2015
- Last Updated
- January 26, 2015
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Specialist (174400000X)