Individual
MRS. DEBRA BECKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA RD CDN
Contact information
Practice address
3451 PARK AVE, OCEANSIDE, NY 11572-4357
(516) 678-7178
(516) 678-7178
Mailing address
3451 PARK AVE, OCEANSIDE, NY 11572-4357
(516) 678-7178
(516) 678-7178
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001611 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3345600
OXFORD
—
01
—
P3346550
OXFORD
—
Enumeration date
10/06/2005
Last updated
12/09/2012
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