Healthcare Provider Details
I. General information
NPI: 1972757334
Provider Name (Legal Business Name): TIBOR BECSKE, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2008
Last Update Date: 11/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
560 1ST AVE HE208
NEW YORK NY
10016-6402
US
IV. Provider business mailing address
7211 AUSTIN ST PMB 151
FOREST HILLS NY
11375-5354
US
V. Phone/Fax
- Phone: 212-263-6008
- Fax: 212-263-0405
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | 224806 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | 224806 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 224806 |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
TIBOR
BECSKE
Title or Position: OWNER
Credential: MD
Phone: 718-544-4149