Individual
DR. LEO BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5205 AVENUE D, BROOKLYN, NY 11203-5932
(718) 629-0235
Mailing address
5205 AVENUE D, BROOKLYN, NY 11203-5932
(718) 629-0235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
039681-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00926352
—
NY
Enumeration date
01/22/2007
Last updated
07/09/2007
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