Basic Information
Provider Information
NPI: 1528464906
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEEKMAN
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1345 RXR PLZ FL 13
Address2:  
City: UNIONDALE
State: NY
PostalCode: 115561301
CountryCode: US
TelephoneNumber: 5164530435
FaxNumber: 6468463283
Practice Location
Address1: 2393 CENTRAL PARK AVE
Address2:  
City: YONKERS
State: NY
PostalCode: 107101215
CountryCode: US
TelephoneNumber: 9142190393
FaxNumber: 9147094097
Other Information
ProviderEnumerationDate: 11/12/2014
LastUpdateDate: 11/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X018245NYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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