Provider Demographics
NPI:1114281045
Name:BEIGEL, MARIANNA D (CERTIFIED TEACHER)
Entity Type:Individual
Prefix:
First Name:MARIANNA
Middle Name:D
Last Name:BEIGEL
Suffix:
Gender:F
Credentials:CERTIFIED TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 ITALY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:NY
Mailing Address - Zip Code:14512-9414
Mailing Address - Country:US
Mailing Address - Phone:585-374-6933
Mailing Address - Fax:
Practice Address - Street 1:590 ITALY VALLEY RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:NY
Practice Address - Zip Code:14512-9414
Practice Address - Country:US
Practice Address - Phone:585-374-6933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY21155OtherNEW YORK STATE