Becker, Kenneth J

Becker, Kenneth J is an sole proprietor health care provider with primary practice located at 155 W Merrick Rd , Freeport NY 11520-3743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Becker, Kenneth J can be contacted via phone (516) 546-2448.

Contact Information

Primary practice address
155 W Merrick Rd Freeport NY 11520-3743
Fax: (516) 546-6069
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 181068 New York

Profile Details

NPI number 1336104959
LBN Legal business name Becker, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Oct 8th, 2021 - about 4 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 1336104959 NPPES
New York MEDICAID 01453332

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