MEDICARE: CARLOS FRANCISCO MARES BELTRAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	301128-01	NY
2	207SG0207X	Medical Biochemical Genetics	301128-01	NY
3	207SG0201X	Clinical Genetics (M.D.) Physician	301128-01	NY

General Provider Information

NPI Number	:	1043662299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS FRANCISCO MARES BELTRAN MD

Provider Business Mailing Address
First Line	:	22 NEW SCOTLAND AVE FL 4
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-3795
Country	:	US
Telephone Number	:	518-262-5214
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 NEW SCOTLAND AVE FL 4
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-3795
Country	:	US
Telephone Number	:	518-262-5214
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2016
Last Update Date	:	01/04/2024

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