Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 257012 | NY |
N | 207RP1001X | Pulmonary Disease | 257012 | NY |
NPI | 1043486608 |
---|---|
Provider Name | Jeremy R Beitler |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2008 |
Last Update Date | 18/01/2022 |