Healthcare Provider Details

I. General information

NPI: 1881772747
Provider Name (Legal Business Name): CLIFFORD BEINART, M.D PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2083 E 65TH ST
BROOKLYN NY
11234-5913
US

IV. Provider business mailing address

311 GREENWICH ST
NEW YORK NY
10013-3386
US

V. Phone/Fax

Practice location:
  • Phone: 212-732-1886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number140440
License Number StateNY

VIII. Authorized Official

Name: DR. CLIFFORD BEINART
Title or Position: MEDICAL DIRECTOR
Credential: M.D
Phone: 212-732-1886