Individual
BRIAN DAVID BECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA, NYCPS
Contact information
Practice address
1099 JAY ST, ROCHESTER, NY 14611-1153
(585) 319-1030
Mailing address
1099 JAY ST STE 202, ROCHESTER, NY 14611-1153
(585) 319-1030
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-4379
NY
175T00000X
Peer Specialist
NYCPS-P-3794
NY
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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