Provider Demographics
NPI:1831995539
Name:BEAUSEJOUR, TAMARAH
Entity type:Individual
Prefix:
First Name:TAMARAH
Middle Name:
Last Name:BEAUSEJOUR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26302 73RD AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1004
Mailing Address - Country:US
Mailing Address - Phone:917-554-4841
Mailing Address - Fax:
Practice Address - Street 1:26302 73RD AVE APT 2
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1004
Practice Address - Country:US
Practice Address - Phone:917-554-4841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula