Beatty, Susan Marie

Beatty, Susan Marie is an individual health care provider with primary practice located at 75 Crystal Run Rd Horton Pavilion, Middletown NY 10940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Beatty, Susan Marie can be contacted via phone (845) 343-0616.

Contact Information

Primary practice address
75 Crystal Run Rd Horton Pavilion Middletown NY 10940
Phone: (845) 343-0616
Fax: (845) 343-0617
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 202537 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07222300 New Jersey

Profile Details

NPI number 1669498911
LBN Legal business name Beatty, Susan Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Dec 5th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669498911 NPPES
New York MEDICAID 01666857

Popular Providers