Healthcare Provider Details

I. General information

NPI: 1144753583
Provider Name (Legal Business Name): LINDSAY DANIELLE BEAMON-SCOTT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY BEAMON

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 07/07/2023
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-1134
US

IV. Provider business mailing address

601 ELMWOOD AVENUE BOX 655
ROCHESTER NY
14642-8655
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-9555
  • Fax:
Mailing address:
  • Phone: 585-273-4398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number309391
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number309391
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: