Individual
GARY SHAWN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2035 RALPH AVE, B2, BROOKLYN, NY 11234-5300
(718) 968-9200
(718) 444-5054
Mailing address
6 ROYAL CT, MANALAPAN, NJ 07726-3205
(732) 972-2272
(732) 972-7882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
232785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280AC
BLUE CROSS
NY
Enumeration date
08/02/2006
Last updated
07/08/2007
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