Provider Demographics
NPI:1265715064
Name:BEEBIE, CHRISTINE E (MSPT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:BEEBIE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 CROWN ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3833
Mailing Address - Country:US
Mailing Address - Phone:845-943-3000
Mailing Address - Fax:
Practice Address - Street 1:61 CROWN ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3833
Practice Address - Country:US
Practice Address - Phone:845-943-3000
Practice Address - Fax:845-339-7506
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019346-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics