Individual
KENNETH J BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 W MERRICK RD, FREEPORT, NY 11520-3743
(516) 546-2448
(516) 546-6069
Mailing address
155 W MERRICK RD, FREEPORT, NY 11520-3743
(516) 546-2448
(516) 546-6069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
181068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01453332
—
NY
Enumeration date
04/18/2006
Last updated
10/08/2021
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