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NPI Code Detail

MEDICARE: LESLIE D BECKFORD PA

MEDICARE: LESLIE D BECKFORD PA
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
1363AM0700XMedical Physician Assistant002147NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205828118
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE D BECKFORD PA
Provider Business Mailing Address
First Line : 731 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10473-2631
Country : US
Telephone Number : 718-589-8324
Fax Number : 718-378-2880
Provider Business Practice Location Address
First Line : 731 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10473-2631
Country : US
Telephone Number : 718-589-8324
Fax Number : 718-378-2880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 12/29/2016

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Directions to “ LESLIE D BECKFORD PA” Practice Location

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