Provider Demographics
NPI:1417175605
Name:BEATO-SMITH, VERA (PHD)
Entity Type:Individual
Prefix:DR
First Name:VERA
Middle Name:
Last Name:BEATO-SMITH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 W END AVE
Mailing Address - Street 2:# 16E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5358
Mailing Address - Country:US
Mailing Address - Phone:212-595-8098
Mailing Address - Fax:
Practice Address - Street 1:440 W END AVE
Practice Address - Street 2:# 16E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5358
Practice Address - Country:US
Practice Address - Phone:212-595-8098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011724-1282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital