Provider Demographics
NPI:1225475320
Name:MURRAY-BEATO, CLARA (MED)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:
Last Name:MURRAY-BEATO
Suffix:
Gender:
Credentials:MED
Other - Prefix:MS
Other - First Name:CLARA
Other - Middle Name:
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:2 HALDANE ST
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-2820
Mailing Address - Country:US
Mailing Address - Phone:347-563-3691
Mailing Address - Fax:
Practice Address - Street 1:2 HALDANE ST
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-2820
Practice Address - Country:US
Practice Address - Phone:347-563-3691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-18-29842103K00000X
NY1671940222Q00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1671940OtherNEW YORK STATE DEPARTMENT OF EDUCATION PERMANANT CERTIFICATION SPECIAL EDUCATION
NY1671940OtherDEPARTMENT OF HEALTH