| NPI | 1104666031 |
|---|---|
| Doing Business As | BEACH BRAIN PLLC |
| Entity Type | Organization |
| Authorized Contact | YOLANDA L LEDAIN Owner/Member 845-648-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |