Beaudry, Philippe Richard

Beaudry, Philippe Richard is an individual health care provider with primary practice located at 130 Centerway , Corning NY 14830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Beaudry, Philippe Richard can be contacted via phone (607) 936-9971.

Contact Information

Primary practice address
130 Centerway Corning NY 14830
Fax: (607) 937-6057
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD071342L Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 217987-1 New York

Profile Details

NPI number 1851364129
LBN Legal business name Beaudry, Philippe Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1851364129 NPPES
New York MEDICAID 02082924
New York MEDICAID 0018025400001

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