Provider Demographics
NPI:1659450278
Name:BEER, YORAM (MD)
Entity Type:Individual
Prefix:
First Name:YORAM
Middle Name:
Last Name:BEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WELLNESS WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2156
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:6 WELLNESS WAY STE G01
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2156
Practice Address - Country:US
Practice Address - Phone:518-836-3600
Practice Address - Fax:518-836-3664
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY136071208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00478217Medicaid
NY141639482OtherTAX ID
NY00478217Medicaid
NYB82065Medicare UPIN
NYAA0904Medicare PIN
NYCC6740Medicare PIN
NYAA0904Medicare ID - Type Unspecified