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1386740371
ISLANDE PROSPER BEAULIEU
JAMAICA, NY
NPI
1386740371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: NY 194613)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
Dr. ISLANDE PROSPER BEAULIEU MD
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
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Mailing Address
Dr. ISLANDE PROSPER BEAULIEU MD
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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