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Grace Beauchamp
NPI 1992292551 · on the registry since 2018 · sole proprietor
Practice
- Address
- 636 Middle Country Rd
Selden, NY 11784 - Phone
- (631) 707-6223
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York