Provider Demographics
NPI:1487119814
Name:BEAMISH, JANE F (MS ED)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:F
Last Name:BEAMISH
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 WILDWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-1140
Mailing Address - Country:US
Mailing Address - Phone:585-733-9216
Mailing Address - Fax:
Practice Address - Street 1:523 WILDWOOD TRL
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-1140
Practice Address - Country:US
Practice Address - Phone:585-733-9216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276826851174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist