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NPI Code Detail

MEDICARE: MS. YELENA BEKKER PA

MEDICARE:  MS. YELENA  BEKKER  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
1363A00000XPhysician Assistant011769NY

General Provider Information

NPI Number : 1285838912
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YELENA BEKKER PA
Provider Business Mailing Address
First Line : 11 KINGS PLACE # 3D
Second Line :
City : BROOKLYN
State : NY
Zip : 11223
Country : US
Telephone Number : 718-909-7511
Fax Number :
Provider Business Practice Location Address
First Line : 11 KINGS PL APT 3D
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2741
Country : US
Telephone Number : 718-909-7511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 06/15/2010

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Directions to “ MS. YELENA BEKKER PA” Practice Location

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