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Individual

MS. JOAN BECHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,ANP-BC,CPNP

Contact information

Practice address
185 OLD COUNTRY RD, SUITE 2, RIVERHEAD, NY 11901-2121
(631) 298-4479
(631) 591-3047
Mailing address
496 COUNTY ROAD 111, BUILDING B, MANORVILLE, NY 11949-2583
(631) 405-3200
(631) 395-6010

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
463448
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
302323
NY
363LP0200X
Pediatric Nurse Practitioner
382127
NY

Other

Enumeration date
09/16/2010
Last updated
04/15/2016
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