Provider Demographics
NPI:1932311511
Name:BEEFERMAN, BRUCE FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:FREDERICK
Last Name:BEEFERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:155 EAST 29TH STREET
Mailing Address - Street 2:SUITE 30 J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-689-4376
Mailing Address - Fax:212-689-4376
Practice Address - Street 1:155 EAST 29TH STREET
Practice Address - Street 2:SUITE 30 J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-689-4376
Practice Address - Fax:212-689-4376
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1869052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY65I941Medicare UPIN