Healthcare Provider Details

I. General information

NPI: 1891794921
Provider Name (Legal Business Name): PAUL MARIUS BEER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 09/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 NEW SCOTLAND RD SUITE 201
SLINGERLANDS NY
12159-9208
US

IV. Provider business mailing address

1220 NEW SCOTLAND RD SUITE 201
SLINGERLANDS NY
12159-9386
US

V. Phone/Fax

Practice location:
  • Phone: 518-533-6550
  • Fax: 518-533-6556
Mailing address:
  • Phone: 518-533-6550
  • Fax: 518-533-6556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number154500
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: