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Individual

DR. GREGORY BECKOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
901 CLASSON AVE, BROOKLYN, NY 11225-1006
(718) 636-4900
Mailing address
901 CLASSON AVE, BROOKLYN, NY 11225-1006
(718) 636-4900

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
628243
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307784
NY

Other

Enumeration date
08/12/2016
Last updated
08/12/2016
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