Healthcare Provider Details

I. General information

NPI: 1760058820
Provider Name (Legal Business Name): MARIE CHRISTINE BELTRAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2021
Last Update Date: 05/31/2021
Certification Date: 05/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 IRVING PL
WOODMERE NY
11598-1230
US

IV. Provider business mailing address

30 CHESTER RD
LYNBROOK NY
11563-3842
US

V. Phone/Fax

Practice location:
  • Phone: 516-806-9062
  • Fax:
Mailing address:
  • Phone: 917-349-5573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number640343
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number640343
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163WI0600X
TaxonomyInfection Control Registered Nurse
License Number640343
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License Number640343
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: