Doctor Name: | DR. BETH M MASSEY |
NPI Number: | 1063437200 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 194285 |
Business Practice Address: | 2900 Hempstead Tpke Suite 203 Levittown, NY - 117561404 |
Business Phone Number: | 5167310303 |
Business Fax Number: | 5167316302 |
Mailing Address: | 2900 Hempstead Tpke, Suite 203 LEVITTOWN |
State: | NY |
Postal Code: | 117561404 |
Phone Number: | 5167310303 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 01/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 194285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |