Provider Demographics
NPI:1225475320
Name:MURRAY-BEATO, CLARA (MED)
Entity Type:Individual
Prefix:
First Name:CLARA
Middle Name:
Last Name:MURRAY-BEATO
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MS
Other - First Name:CLARA
Other - Middle Name:
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:2 HALDANE ST
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-2820
Mailing Address - Country:US
Mailing Address - Phone:347-563-3691
Mailing Address - Fax:
Practice Address - Street 1:2 HALDANE ST
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-2820
Practice Address - Country:US
Practice Address - Phone:347-563-3691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1671940222Q00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1671940OtherDEPARTMENT OF HEALTH
NY1671940OtherNEW YORK STATE DEPARTMENT OF EDUCATION PERMANANT CERTIFICATION SPECIAL EDUCATION