Individual
STEPHANIE K BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 BETHPAGE RD STE 102, HICKSVILLE, NY 11801-1515
(516) 681-2220
(516) 681-2214
Mailing address
120 BETHPAGE RD, SUITE 102, HICKSVILLE, NY 11801-1515
(516) 681-2220
(516) 682-2214
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
193672
NY
207W00000X
Ophthalmology Physician
Primary
193672-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01500985
—
NY
Enumeration date
11/01/2006
Last updated
06/11/2019
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