Individual
MS. AUDREY ANNMARIE BECKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
415 COLUMBUS AVE, EAST PATCHOGUE, NY 11772-5209
(718) 413-8193
Mailing address
415 COLUMBUS AVE, EAST PATCHOGUE, NY 11772-5209
(718) 413-8193
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313660-1
NY
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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