Individual
JAMES BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 DURHAM PL, LAKE GROVE, NY 11755-2847
(631) 739-8441
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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