Individual
DR. BRUCE A BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MADISON AVE, SUITE 2C, ELMIRA, NY 14901-3218
(607) 737-4339
(607) 737-1519
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101046733
VA
207RN0300X
Nephrology Physician
Primary
241959
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010065429
—
VA
05
—
02822333
—
NY
05
—
102230076
—
PA
Enumeration date
10/14/2005
Last updated
06/08/2016
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