Provider Demographics
NPI:1942487335
Name:BEANG, JOSEPH M (RPAC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:BEANG
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Gender:M
Credentials:RPAC
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Mailing Address - Street 1:19 LIMESTONE DR
Mailing Address - Street 2:SUITE 11
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7091
Mailing Address - Country:US
Mailing Address - Phone:716-634-3500
Mailing Address - Fax:716-634-3525
Practice Address - Street 1:19 LIMESTONE DR
Practice Address - Street 2:SUITE 11
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7091
Practice Address - Country:US
Practice Address - Phone:716-634-3500
Practice Address - Fax:716-634-3525
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2014-05-21
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Provider Licenses
StateLicense IDTaxonomies
NY012370363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant