MEDICARE: RUTH E. BELTRAN LMHC

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	101YM0800X	Mental Health Counselor	000318-1	NY

General Provider Information

NPI Number	:	1851945380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH E. BELTRAN LMHC

Provider Business Mailing Address
First Line	:	63 LAKESIDE RD
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-4205
Country	:	US
Telephone Number	:	914-715-6321
Fax Number	:

Provider Business Practice Location Address
First Line	:	152 MADISON AVE RM 1000
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-5472
Country	:	US
Telephone Number	:	212-889-8905
Fax Number	:

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

Provider Enumeration Date	:	08/01/2019
Last Update Date	:	08/01/2019

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