Provider Demographics
NPI:1477850147
Name:BEER & BEER MD PLLC
Entity Type:Organization
Organization Name:BEER & BEER MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:YORAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-339-3755
Mailing Address - Street 1:2 SAGE EST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204-2237
Mailing Address - Country:US
Mailing Address - Phone:518-339-3755
Mailing Address - Fax:518-463-1589
Practice Address - Street 1:711 TROY SCHENECTADY RD
Practice Address - Street 2:SUITE 119
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2442
Practice Address - Country:US
Practice Address - Phone:518-786-9131
Practice Address - Fax:518-690-0658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1360712088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric UrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY340011809OtherMEDICARE RAILROAD
NY340011809OtherMEDICARE RAILROAD