Healthcare Provider Details

I. General information

NPI: 1679427793
Provider Name (Legal Business Name): MR. DARREN BEAMON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 CORPORATE DR
PEEKSKILL NY
10566-1846
US

IV. Provider business mailing address

3 CORPORATE DR
PEEKSKILL NY
10566-1846
US

V. Phone/Fax

Practice location:
  • Phone: 914-257-3500
  • Fax: 914-737-2508
Mailing address:
  • Phone: 914-257-3500
  • Fax: 914-737-2508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: