Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 268983 | NY |
N | 207PP0204X | Pediatric Emergency Physician | 60421 | CT |
Y | 2080P0204X | Pediatric Emergency Doctor | 60421 | CT |
NPI | 1508162827 |
---|---|
Provider Name | Dr. Joshua Matthew Beiner |
First Address | New York, NY 10021-3048 |
Second Address | New Haven, CT 06504-8901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2011 |
Last Update Date | 31/05/2018 |