MEDICARE: ESTHER BECKOFF

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
1	235Z00000X	Speech-Language Pathologist	0003196-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0003196-1	OTHER	NY	NYS PROFESSIONAL LICENSE

General Provider Information

NPI Number	:	1700167335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER BECKOFF

Provider Business Mailing Address
First Line	:	8219 218TH ST
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11427-1415
Country	:	US
Telephone Number	:	718-465-7405
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 HUTCHINSON RIVER PKWY
Second Line	:	ST.JOSEPH'S SCHOOL FOR THEDEAF
City	:	BRONX
State	:	NY
Zip	:	10465-1820
Country	:	US
Telephone Number	:	718-828-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2011
Last Update Date	:	09/09/2011

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Directions to “ ESTHER BECKOFF ” Practice Location

Language	Start Address	Practice Location

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