MEDICARE: MAURICE BETESH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	006974	NY

General Provider Information

NPI Number	:	1033564034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURICE BETESH

Provider Business Mailing Address
First Line	:	770 OCEAN PKWY STE 1A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2159
Country	:	US
Telephone Number	:	718-851-0001
Fax Number	:

Provider Business Practice Location Address
First Line	:	770 OCEAN PKWY STE 1A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2159
Country	:	US
Telephone Number	:	718-851-0001
Fax Number	:	718-228-8229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2016
Last Update Date	:	04/30/2026

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Directions to “ MAURICE BETESH ” Practice Location

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