Christine Jill Beard
Individual provider Active NPI Specialist · Plainview, NY
NPI 1477062859 · NPPES record last updated Sep 28, 2017
Key facts
- NPI
- 1477062859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 592863 (NY)
- Practice address
- 255 Executive Dr Ste Ll105108
Plainview, NY 11803-1718 - Phone
- (516) 576-2040
- NPI assigned
- Sep 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 592863 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 592863 | NY | Yes |
Addresses
Primary practice location
255 Executive Dr Ste Ll105108
Plainview, NY 11803-1718
Mailing address
34 Veronica LN
North Babylon, NY 11703-5111
Phone (631) 321-0440
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.