Individual
DR. JACOB BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
662 BEDFORD AVE, BROOKLYN, NY 11211-8017
(718) 624-6363
Mailing address
662 BEDFORD AVE, BROOKLYN, NY 11211-8017
(718) 624-6363
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
023507
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01142369
—
NY
Enumeration date
05/16/2007
Last updated
07/08/2007
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