Dr. Islande Prosper Beaulieu
MD | Pediatric Adolescent Medicine | Male
Dr. Islande Prosper Beaulieu, MD is a Jamaica, New York based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Islande Prosper Beaulieu is
8268 164th St, Jamaica, New York - 11432-1121. He can be contacted on phone at
718-883-3225 and fax number 718-883-6193.
Dr. Islande Prosper Beaulieu is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Islande Prosper Beaulieu is
1386740371 which was assigned by NPPES on 16 Sep, 2006 and it was last updated on 08 Jul, 2007.
Dr. Islande Prosper Beaulieu license number is
194613 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Dr. Islande Prosper Beaulieu specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Islande Prosper Beaulieu basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Islande Prosper Beaulieu |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Islande Prosper Beaulieu address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8268 164th St
Jamaica, NY, 11432-1121
United States |
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| Phone Number : | 718-883-3225 |
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| Fax Number : | 718-883-6193 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1386740371 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Sep, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Islande Prosper Beaulieu are as mentioned. Primary taxonomy code for Dr. Islande Prosper Beaulieu, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 194613 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Islande Prosper Beaulieu such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 01493787 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7901 Broadway, Managed Care, D1-01
Elmhurst, NY, 11373-1329
United States |
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| Phone Number : | 718-334-1921 |
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| Fax Number : | 718-334-3432 |
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Business Location:
Patients can refer following map for directions to
Dr. Islande Prosper Beaulieu practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.