MEDICARE: NANCY BECKER

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
1	251K00000X	Public Health or Welfare Agency	262692-1	NY

General Provider Information

NPI Number	:	1518382605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NANCY BECKER

Provider Business Mailing Address
First Line	:	4559 UTOPIA PKWY
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11358-3330
Country	:	US
Telephone Number	:	718-353-8078
Fax Number	:

Provider Business Practice Location Address
First Line	:	4809 CENTER BLVD
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11109-5605
Country	:	US
Telephone Number	:	718-786-6736
Fax Number	:

Authorized Official
Title or Position	:	RN, JPHN
Name	:	MRS. NANCY M BECKER
Credential	:
Telephone Number	:	718-786-6736

Provider Enumeration Date	:	02/26/2014
Last Update Date	:	02/26/2014

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Directions to “NANCY BECKER ” Practice Location

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