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
Phone: (607) 936-9971
Fax: (607) 937-6057
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851364129 | NPPES |
New York | MEDICAID | 02082924 | |
New York | MEDICAID | 0018025400001 |
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