Individual
JOSHUA BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1391
(315) 482-1277
(315) 482-4911
Mailing address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1391
(315) 482-1277
(315) 482-4911
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02996087
—
NY
Enumeration date
06/25/2019
Last updated
09/09/2025
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