Individual
DR. GLENN ADAM BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 E 60TH ST APT 2E, NEW YORK, NY 10022-1164
(212) 319-6050
(212) 838-1712
Mailing address
121 E 60TH ST APT 2E, NEW YORK, NY 10022-1164
(212) 319-6050
(212) 838-1712
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
162679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162679
NY LICENSE
NY
01
—
G63623
CA LICENSE
CA
Enumeration date
10/12/2006
Last updated
08/19/2014
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