Beach, Robert L

Beach, Robert L is an individual health care provider with primary practice located at 90 Presidential Plz 4Th Floor, Syracuse NY 13202-2240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Beach, Robert L can be contacted via phone (315) 464-4243.

Contact Information

Primary practice address
90 Presidential Plz 4Th Floor Syracuse NY 13202-2240
Phone: (315) 464-4243
Fax: (315) 464-5350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 214136 New York
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 214136 New York

Profile Details

NPI number 1770541187
LBN Legal business name Beach, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated May 6th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770541187 NPPES
New York MEDICAID 01988870

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