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NPI Code Detail

MEDICARE: CAREFULLMD BEACON INC

MEDICARE: CAREFULLMD BEACON INC
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1194468256
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREFULLMD BEACON INC
Provider Business Mailing Address
First Line : 10 LEON DR UNIT 211
Second Line :
City : MONSEY
State : NY
Zip : 10952-2962
Country : US
Telephone Number : 845-891-5932
Fax Number :
Provider Business Practice Location Address
First Line : 268 MAIN ST
Second Line :
City : BEACON
State : NY
Zip : 12508-2734
Country : US
Telephone Number : 845-891-5932
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE
Name : ARIEL RODRIGUEZ
Credential :
Telephone Number : 845-891-5932
Provider Enumeration Date : 04/18/2022
Last Update Date : 08/21/2024

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Directions to “CAREFULLMD BEACON INC ” Practice Location

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