Healthcare Provider Details

I. General information

NPI: 1083276372
Provider Name (Legal Business Name): BEATRIZ HANEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 07/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

874 BUTLER ST STE 1
PITTSBURGH PA
15223-1331
US

IV. Provider business mailing address

874 BUTLER ST STE 1
PITTSBURGH PA
15223-1331
US

V. Phone/Fax

Practice location:
  • Phone: 412-781-3150
  • Fax: 412-781-3156
Mailing address:
  • Phone: 412-781-3150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: