Organization
RETRO MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA BECKER M.D. (SOLE MEMBER)
(631) 704-9256
Entity
Organization
Contact information
Practice address
223 WALL ST # 143, HUNTINGTON, NY 11743-2060
(631) 704-9256
Mailing address
223 WALL ST # 143, HUNTINGTON, NY 11743-2060
(631) 704-9256
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
188871
NY
Other
Enumeration date
08/03/2008
Last updated
07/10/2013
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