Provider Demographics
NPI:1639361546
Name:BECKER, DANIEL JACOB (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JACOB
Last Name:BECKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9500-2467
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-2467
Mailing Address - Country:US
Mailing Address - Phone:212-256-3539
Mailing Address - Fax:212-256-3632
Practice Address - Street 1:1000 10TH AVE
Practice Address - Street 2:SUITE 11G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1147
Practice Address - Country:US
Practice Address - Phone:212-523-5559
Practice Address - Fax:212-523-2004
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2015-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY233841207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology