Provider Demographics
NPI:1811731060
Name:DAVID BEYDA MD
Entity type:Organization
Organization Name:DAVID BEYDA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN - OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEYDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-322-2410
Mailing Address - Street 1:14123 59TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5304
Mailing Address - Country:US
Mailing Address - Phone:646-322-2410
Mailing Address - Fax:800-557-3140
Practice Address - Street 1:14123 59TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5304
Practice Address - Country:US
Practice Address - Phone:646-322-2410
Practice Address - Fax:800-557-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-22
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty