Individual
MICHELLE ELIZABETH BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
607 CLAUDIUS DR, AVON, IN 46123-7846
(317) 503-0538
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PENDING
NY
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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