MR. Joaquin Ty Beasca, PA

NPI #1699445130 in Floral Park, New York

Provider Information

NPI Number: 1699445130
Entity Type: Individual
Name: MR. Joaquin Ty Beasca, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 16, 2021
Last Updated: Sep 16, 2021

Practice Location

Address: 56 BELLMORE ST
City: Floral Park
State: New York
ZIP Code: 11001-3111
Phone: (929) 378-8623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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