MEDICARE: MARIANNE BESHAY

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	183500000X	Pharmacist	066608	NY

General Provider Information

NPI Number	:	1922626712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANNE BESHAY

Provider Business Mailing Address
First Line	:	12 CLINTON AVE
Second Line	:
City	:	NYACK
State	:	NY
Zip	:	10960-4716
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 ROUTE 303
Second Line	:
City	:	TAPPAN
State	:	NY
Zip	:	10983-2807
Country	:	US
Telephone Number	:	845-499-6470
Fax Number	:

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

Provider Enumeration Date	:	07/08/2020
Last Update Date	:	07/08/2020

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Directions to “ MARIANNE BESHAY ” Practice Location

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