Lynn E. Beatty, TEACHER
Individual provider Active NPI Specialist · Holley, NY
NPI 1740532159 · NPPES record last updated Oct 9, 2012
Key facts
- NPI
- 1740532159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 16015 Lynch Rd
Holley, NY 14470-9326 - Phone
- (585) 590-6906
- NPI assigned
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Yes |
Addresses
Primary practice location
16015 Lynch Rd
Holley, NY 14470-9326
Mailing address
16015 Lynch Rd
Holley, NY 14470-9326
Phone (585) 590-6906
Other providers in Holley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2012. 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.