MEDICARE: NATHAN BEGELMAN, MD, PC

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	261QP2300X	Primary Care Clinic/Center	112575	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487969440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATHAN BEGELMAN, MD, PC

Provider Business Mailing Address
First Line	:	1282 PARK ST
Second Line	:
City	:	ATLANTIC BEACH
State	:	NY
Zip	:	11509-1619
Country	:	US
Telephone Number	:	516-432-6360
Fax Number	:

Provider Business Practice Location Address
First Line	:	1282 PARK ST
Second Line	:
City	:	ATLANTIC BEACH
State	:	NY
Zip	:	11509-1619
Country	:	US
Telephone Number	:	516-432-6360
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NATHAN BEGELMAN
Credential	:	M.D.
Telephone Number	:	516-432-6360

Provider Enumeration Date	:	08/16/2010
Last Update Date	:	07/25/2012

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