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Contact Information

PHILIPPE R BEAUDRY, MD
130 CENTERWAY
CORNING, NY14830
 Phone: 607-936-9971
 Fax: 607-937-6057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PHILIPPE R BEAUDRY · (Male)

NPI Number 1851364129
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 217987-1
  • PA License # MD071342L
  • NY Medicaid 02082924
  • PA Medicaid 0018025400001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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