DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FERNANDO EDGARDO BELTRAN JR.

Active

MR. FERNANDO EDGARDO BELTRAN JR. is a Clinical Social Worker healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1164035200 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORT JEFFERSON STATION, NY

Registration Details

NPI Number
1164035200
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2020 (5.9474981408132 yrs)
Last Updated
Oct 1, 2023
Licenses
101668-01 (NY)
093837-01 (NY)

Practice Information

Address
425 OLD TOWN RD
PORT JEFFERSON STATION, NY, 117763627
Browse NY providers · Browse ZIP 11776
Phone
6312097042
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PORT JEFFERSON STATION, NY

Name Credential NPI
MS. DAWN FRIEDLAND-PEREZ LCSW 1558365023
MR. GEOFFREY THOMAS OCONNELL LCSW-R 1720087117
MR. VICTOR JAMES GOLDMAN LCSW 1104866094
ALLYSA J WACHHOLDER LCSW 1497787188
MR. THOMAS MCINTYRE LCSW 1366477309
MS. RONNIE L. STEINER LCSW-R, CASAC 1104840925
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.