Provider Demographics
NPI:1114378239
Name:ARTIM, BEATRICE
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:
Last Name:ARTIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5058 44TH ST
Mailing Address - Street 2:APT.2
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-7320
Mailing Address - Country:US
Mailing Address - Phone:718-930-5119
Mailing Address - Fax:
Practice Address - Street 1:5058 44TH ST
Practice Address - Street 2:APT.2
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-7320
Practice Address - Country:US
Practice Address - Phone:718-930-5119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency