Provider Demographics
NPI:1497023329
Name:BEKKER, TATYANA (MS, SPED)
Entity Type:Individual
Prefix:
First Name:TATYANA
Middle Name:
Last Name:BEKKER
Suffix:
Gender:F
Credentials:MS, SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 LORETTO ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10307-2202
Mailing Address - Country:US
Mailing Address - Phone:718-966-9855
Mailing Address - Fax:718-966-5735
Practice Address - Street 1:389 LORETTO ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10307-2202
Practice Address - Country:US
Practice Address - Phone:718-909-8029
Practice Address - Fax:718-966-5735
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist