Provider Demographics
NPI:1700843067
Name:BECKER-HAMOU, MICHELE LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:LEE
Last Name:BECKER-HAMOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:373 ROUTE 111
Mailing Address - Street 2:SUITE 14
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-4759
Mailing Address - Country:US
Mailing Address - Phone:631-265-0050
Mailing Address - Fax:631-265-0204
Practice Address - Street 1:373 ROUTE 111
Practice Address - Street 2:SUITE 14
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-4759
Practice Address - Country:US
Practice Address - Phone:631-265-0050
Practice Address - Fax:631-265-0204
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207958207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine