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NPI Code Detail

MEDICARE: BEENA IYPE

MEDICARE:   BEENA  IYPE
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
1208000000XPediatrics Physician273285NY

General Provider Information

NPI Number : 1962792820
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEENA IYPE
Provider Business Mailing Address
First Line : 3030 47TH AVE FL 7
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-3433
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3030 47TH AVE FL 7
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-3433
Country : US
Telephone Number : --
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2011
Last Update Date : 04/01/2022

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Directions to “ BEENA IYPE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.