Provider Demographics
NPI:1275659542
Name:DAVID S. BECKER, M.D., P.C.
Entity Type:Organization
Organization Name:DAVID S. BECKER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-772-3600
Mailing Address - Street 1:205 E 69TH ST
Mailing Address - Street 2:#1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5431
Mailing Address - Country:US
Mailing Address - Phone:212-772-3600
Mailing Address - Fax:212-772-7370
Practice Address - Street 1:205 E 69TH ST
Practice Address - Street 2:#1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5431
Practice Address - Country:US
Practice Address - Phone:212-772-3600
Practice Address - Fax:212-772-7370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWWQ431Medicare PIN