Provider Demographics
NPI:1003844861
Name:BECKER, JULIA ANN (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:BECKER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7281 113TH ST
Mailing Address - Street 2:SUITE #7-U
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5636
Mailing Address - Country:US
Mailing Address - Phone:516-238-7101
Mailing Address - Fax:718-261-1730
Practice Address - Street 1:11021 73RD RD
Practice Address - Street 2:SUITE 1-J
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6348
Practice Address - Country:US
Practice Address - Phone:516-238-7101
Practice Address - Fax:718-261-1730
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2023-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY195935-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
43M821Medicare PIN
ING27242Medicare UPIN