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Contact Information

KENNETH J BECKER, MD
155 W MERRICK RD
FREEPORT, NY11520-3743
 Phone: 516-546-2448
 Fax: 516-546-6069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH J BECKER · (Male)

NPI Number 1336104959
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2006
Last updated 10/08/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 181068
  • NY Medicaid 01453332
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    1000 NORTH VILLAGE AVENUE
    ROCKVILLE CENTRE, NY 11570
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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