Provider Demographics
NPI:1508107855
Name:BESWICK, ROSALYN (NP)
Entity type:Individual
Prefix:MISS
First Name:ROSALYN
Middle Name:
Last Name:BESWICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 DIELLEN LN
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4546
Mailing Address - Country:US
Mailing Address - Phone:917-217-4975
Mailing Address - Fax:
Practice Address - Street 1:612 CORPORATE WAY STE 2M
Practice Address - Street 2:
Practice Address - City:VALLEY COTTAGE
Practice Address - State:NY
Practice Address - Zip Code:10989-2027
Practice Address - Country:US
Practice Address - Phone:718-362-1411
Practice Address - Fax:718-362-1651
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306253-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health