Individual
JENNIFER BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSTOM L.AC
Contact information
Practice address
1422 BEVERLEY RD, BROOKLYN, NY 11226-4514
(815) 375-0370
Mailing address
1422 BEVERLEY ROAD, BROOKLYN, NY 11226
(815) 375-0370
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25 004836
NY
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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