# RETRO MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134385743
- **Authorized official:** AIDA BECKER M.D. (SOLE MEMBER)
- **Authorized official phone:** (631) 704-9256

## Contact information

- **Practice address:** 223 WALL ST \# 143, HUNTINGTON, NY 11743-2060
- **Practice address phone:** (631) 704-9256
- **Mailing address:** 223 WALL ST \# 143, HUNTINGTON, NY 11743-2060
- **Mailing address phone:** (631) 704-9256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 188871 | NY | Yes |

## Other

- **Enumeration date:** 08/03/2008
- **Last updated:** 07/10/2013