Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN NERE BEAUDETT, D.O
ActiveETHAN NERE BEAUDETT, D.O is a Sports Medicine healthcare provider located in ROCHESTER, New York. NPI 1205240835 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · ROCHESTER, NY
Registration Details
- NPI Number
- 1205240835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2014 (12.032373002618 yrs)
- Last Updated
- Jun 30, 2023
- Licenses
-
290946 (NY)290946 (NY)
Practice Information
- Address
-
738 LIBRARY ROAD#1ROCHESTER, NY, 146270617Browse NY providers · Browse ZIP 14627
- Phone
- 5852752662
- Fax
- 5852760149
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in ROCHESTER, NY
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE ANNE BLONSKI | D.O. | 1356565790 |
| KATE GRANT | DO | 1427207133 |
| DANIEL D DAY | DO | 1710136411 |
| SCOTT JOSEPH BIEHL | D.O. | 1023464203 |
| DR. MATTHEW JACOB NAGELSCHMIDT | MD | 1700409133 |
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.