Doctor Name: | MS. WENDY BECKMANN |
NPI Number: | 1083651764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS FNPC |
License Number: | F3348531 |
Business Practice Address: | 180 E Pulaski Rd Huntington Station, NY - 117461915 |
Business Phone Number: | 6314252115 |
Business Fax Number: | 6314252213 |
Mailing Address: | 180 E Pulaski Rd, HUNTINGTON STATION |
State: | NY |
Postal Code: | 117461915 |
Phone Number: | 6314252115 |
Fax Number: | 6314252213 |
NPI Enumeration Date: | 06/01/2006 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F3348531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |