Healthcare Provider Details

I. General information

NPI: 1003930470
Provider Name (Legal Business Name): DARCI BEIRAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 01/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 STETSON RD TUPPER LAKE HEALTH CENTER
TUPPER LAKE NY
12986-2014
US

IV. Provider business mailing address

46 BIRCH ST
SARANAC LAKE NY
12983-2302
US

V. Phone/Fax

Practice location:
  • Phone: 518-359-7000
  • Fax: 518-359-8243
Mailing address:
  • Phone: 518-354-8434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number256309
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: