Most Relevant Information
Provider Data
| NPI Number: | 1003592924 |
| Provider Name: | JARED ROSS BEYER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 804309 |
Most Important Dates
| Enumeration Date: | 06/26/2023 |
| Last Updated: | 06/26/2023 |
Provider Practice Location
1200 MONTAUK HWY
OAKDALE
NY
11769
Practice Location Phone/Fax
| Phone: | 6315674901 |
| Fax: | 6312408924 |
Provider Mailing Location
830 DEER PARK ROAD
DIX HILLS
NY
11746
Provider Mailing Phone/Fax
| Phone: | 6319424554 |
| Fax: |