Provider Demographics
NPI:1891794921
Name:BEER, PAUL MARIUS (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MARIUS
Last Name:BEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1220 NEW SCOTLAND RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-9386
Mailing Address - Country:US
Mailing Address - Phone:518-533-6550
Mailing Address - Fax:518-533-6556
Practice Address - Street 1:1220 NEW SCOTLAND RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-9208
Practice Address - Country:US
Practice Address - Phone:518-533-6550
Practice Address - Fax:518-533-6556
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY154500207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10006064OtherCDPHP
NY180045500OtherRAILROAD MEDICARE
NY346241OtherMVP
NY01162656Medicaid
NY180045500OtherRAILROAD MEDICARE