Beck, Michael John

Beck, Michael John is an individual health care provider with primary practice located at 534 Deer Park Ave , Babylon NY 11702. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Beck, Michael John can be contacted via phone (631) 587-1924.

Contact Information

Primary practice address
534 Deer Park Ave Babylon NY 11702
Phone: (631) 587-1924
Fax: (631) 893-0618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4155 New York

Profile Details

NPI number 1922179886
LBN Legal business name Beck, Michael John
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Apr 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922179886 NPPES
New York MEDICAID 00746781

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