National Provider Identifier

Philippe Richard Beaudry, MD

Philippe Richard Beaudry, MD is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Corning, NY and a listed phone number of (607) 936-9971.

NPI 1851364129Corning, NYCardiovascular Disease Physician

Profile Overview

NPI
1851364129
Provider Type
Individual
Primary Specialty
Cardiovascular Disease Physician
Enumeration Date
February 08, 2006
Last Updated
July 08, 2007

Practice Location

  • 130 Centerway
  • Corning, NY 14830

Phone: (607) 936-9971

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Cardiovascular Disease Physician (207RC0000X)
  • Cardiovascular Disease Physician (207RC0000X)
Full Record
NPI
1851364129
Entity Type
Individual
Last Name
Beaudry
First Name
Philippe
Middle Name
Richard
Name Prefix
Dr.
Credential
MD
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1625
Mailing Country
US
Mailing Phone
(570) 888-5858
Mailing Fax
(570) 882-3007
Practice Street Address
130 Centerway
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830
Practice Country
US
Practice Phone
(607) 936-9971
Practice Fax
(607) 937-6057
Enumeration Date
February 08, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Cardiovascular Disease Physician (207RC0000X), Cardiovascular Disease Physician (207RC0000X)
Other Identifiers
02082924 (NY), 0018025400001 (PA)