Healthcare Provider Details

I. General information

NPI: 1295919256
Provider Name (Legal Business Name): LESIA BEKERSKY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2007
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4854 COMMERCIAL DR
NEW HARTFORD NY
13413-6206
US

IV. Provider business mailing address

4854 COMMERCIAL DRIVE
NEW HARTFORD NY
13413
US

V. Phone/Fax

Practice location:
  • Phone: 315-736-5232
  • Fax:
Mailing address:
  • Phone: 315-736-5232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number030695
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: