NPI Information
- NPI:
1548934706
- Provider Name:
NICOLE BEACH
- Classification:
Specialist/Technologist - 2255A2300X
- Specialization: Athletic Trainer
- Entity Type:
Individual
- Address:
1396 ADEN RD
LIBERTY, NY
ZIP 12754
- Phone:
(845) 295-0113
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Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 2255A2300X | Specialist/Technologist | Athletic Trainer | | NEW YORK | Yes |