Islande Prosper Beaulieu in Jamaica - Adolescent Medicine

Islande Prosper Beaulieu - NPI 1386740371

Islande Prosper Beaulieu is a Adolescent Medicine in Jamaica, New York. Islande Prosper Beaulieu practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Islande Prosper Beaulieu is 1386740371. The last update date is 2007-07-08.

Islande Prosper Beaulieu's current location address is 8268 164th St, Jamaica, New York. You can contact this provider via phone number 7188833225 and fax number 7188836193. The mailing address for Islande Prosper Beaulieu is 8268 164th St, Jamaica, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Islande Prosper Beaulieu
Address 8268 164th St, Jamaica, New York
Phone Number 7188833225
Fax Number 7188836193
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1386740371
Provider Enumeration Date 2006-09-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8268 164th St
City Jamaica
State New York (NY)
Post Code 114321121
Phone Number 7188833225
Fax Number 7188836193

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 194613
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1493787 NY --

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FAQs about Islande Prosper Beaulieu

What is the unique 10-digit identification code assigned to Islande Prosper Beaulieu by the Centers for Medicare & Medicaid Services?

The Islande Prosper Beaulieu has been issued the NPI (National Provider Identifier) 1386740371, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Islande Prosper Beaulieu?

The Islande Prosper Beaulieu is situated at 8268 164Th St, in the city of Jamaica, state of NY, with the zip code 114321121.

What is Islande Prosper Beaulieu's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Islande Prosper Beaulieu is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1386740371 to Islande Prosper Beaulieu?

The Islande Prosper Beaulieu received its 1386740371 assignment from the Centers for Medicare & Medicaid Services on 2006-09-16.

When was the information pertaining to Islande Prosper Beaulieu most recently updated or revised?

The details related to Islande Prosper Beaulieu, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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