Provider Demographics
NPI:1356481287
Name:APOSTOLI, BETH REGINA (MED, SAS)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:REGINA
Last Name:APOSTOLI
Suffix:
Gender:F
Credentials:MED, SAS
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:REGINA
Other - Last Name:APOSTOLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:60 E HILL DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2064
Mailing Address - Country:US
Mailing Address - Phone:631-979-6635
Mailing Address - Fax:
Practice Address - Street 1:60 E HILL DR
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2064
Practice Address - Country:US
Practice Address - Phone:631-979-0456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist