Provider Demographics
NPI:1952680183
Name:BEALE, MAUREEN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:
Last Name:BEALE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:525 E 68TH ST # 98
Mailing Address - Street 2:KIDNEY AND PANCREAS TRANSPLANT PROGRAM
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-3020
Mailing Address - Fax:212-746-8541
Practice Address - Street 1:525 E 68TH ST # 98
Practice Address - Street 2:KIDNEY AND PANCREAS TRANSPLANT PROGRAM
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-3020
Practice Address - Fax:212-746-8541
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2013-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY014947363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant