BEAU STATES

NEW YORK, NY
NPI1104383173
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  703282)
Enumeration Date2019-02-26
Last Update Date2019-02-26
Business Address
BEAU STATES RN
560 W 168TH ST
NEW YORK, NY 10032-3917
Phone number: 818-645-1425
Mailing Address
BEAU STATES RN
16 CEDAR RIDGE RD
NEW PALTZ, NY 12561-2711
Phone number: 818-645-1425
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