MEDICARE: CLARA MURRAY-BEATO MED

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	103K00000X	Behavior Analyst	1-18-29842	NY
2	222Q00000X	Developmental Therapist	1671940	NY
3	174400000X	Specialist	1671940	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1671940	OTHER	NY	NEW YORK STATE DEPARTMENT OF EDUCATION PERMANANT CERTIFICATION SPECIAL EDUCATION
2	1671940	OTHER	NY	DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1225475320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARA MURRAY-BEATO MED

Provider Business Mailing Address
First Line	:	2 HALDANE ST
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-2820
Country	:	US
Telephone Number	:	347-563-3691
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 HALDANE ST
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-2820
Country	:	US
Telephone Number	:	347-563-3691
Fax Number	:

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

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	03/04/2025

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