Provider Demographics
NPI:1114564051
Name:BEILING, JARED
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:
Last Name:BEILING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 BALSAM LN
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-9555
Mailing Address - Country:US
Mailing Address - Phone:585-645-3230
Mailing Address - Fax:
Practice Address - Street 1:1670 EMPIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2119
Practice Address - Country:US
Practice Address - Phone:585-671-0850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist