Beitia, Laura Grace
Beitia, Laura Grace is an individual health care provider with primary practice located at 1176 5Th Ave , New York NY 10029-6503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Beitia, Laura Grace can be contacted via phone (212) 241-6381.Contact Information
Primary practice address
1176 5Th Ave
New York NY 10029-6503
Phone: (212) 241-6381
Fax: (212) 410-1973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 209380 | New York |
Profile Details
| NPI number | 1841290905 |
|---|---|
| LBN Legal business name | Beitia, Laura Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Nov 3rd, 2011 - about 13 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 | 1841290905 | NPPES |
| New York | MEDICAID | 02246519 |
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