Individual
DR. MICHAEL JOHN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
534 DEER PARK AVE, BABYLON, NY 11702
(631) 587-1924
(631) 893-0618
Mailing address
534 DEER PARK AVE, BABYLON, NY 11702
(631) 587-1924
(631) 893-0618
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4155
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00746781
—
NY
Enumeration date
11/13/2006
Last updated
04/07/2017
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