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NPI Code Detail

MEDICARE: MRS. JEANINE BECKER OTR/L

MEDICARE: MRS. JEANINE BECKER OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist008374-1NY

General Provider Information

NPI Number : 1316212715
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEANINE BECKER OTR/L
Provider Business Mailing Address
First Line : 10 STUART PL
Second Line :
City : MANHASSET
State : NY
Zip : 11030-2620
Country : US
Telephone Number : 516-627-0064
Fax Number :
Provider Business Practice Location Address
First Line : 6125 MARATHON PKWY
Second Line :
City : LITTLE NECK
State : NY
Zip : 11362-2042
Country : US
Telephone Number : 718-224-8060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2012
Last Update Date : 03/19/2012

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