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NPI Code Detail

MEDICARE: DR. CLIFFORD IRVING BECKER DDS

MEDICARE:  DR. CLIFFORD IRVING BECKER  DDS
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
11223G0001XGeneral Practice Dentistry23806NY

General Provider Information

NPI Number : 1023008307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLIFFORD IRVING BECKER DDS
Provider Business Mailing Address
First Line : 2815 OCEAN PKWY
Second Line : L1
City : BROOKLYN
State : NY
Zip : 11235-7839
Country : US
Telephone Number : 718-648-4100
Fax Number :
Provider Business Practice Location Address
First Line : 2815 OCEAN PKWY
Second Line : L1
City : BROOKLYN
State : NY
Zip : 11235-7839
Country : US
Telephone Number : 718-648-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 07/08/2007

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Directions to “ DR. CLIFFORD IRVING BECKER DDS” Practice Location

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