Healthcare Provider Details

I. General information

NPI: 1760319966
Provider Name (Legal Business Name): CHRISTINA BEUTURA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 GRASSLANDS RD
VALHALLA NY
10595-1543
US

IV. Provider business mailing address

2364 204TH ST
BAYSIDE NY
11360-1344
US

V. Phone/Fax

Practice location:
  • Phone: 914-681-8486
  • Fax:
Mailing address:
  • Phone: 347-695-5671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number033258
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: