Healthcare Provider Details

I. General information

NPI: 1124273057
Provider Name (Legal Business Name): MAIER BECKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2008
Last Update Date: 11/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 SUNRISE HWY SUITE 109
ROCKVILLE CTR NY
11570-4912
US

IV. Provider business mailing address

24050 COMMERCE PARK SUITE 100
BEACHWOOD OH
44122-5833
US

V. Phone/Fax

Practice location:
  • Phone: 216-896-9301
  • Fax: 216-896-9302
Mailing address:
  • Phone: 216-896-9301
  • Fax: 216-896-9302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.063902
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: