Carol G Becerra, RN
Individual provider Active NPI Registered Nurse · Farmingdale, NY
NPI 1124574603 · NPPES record last updated Aug 25, 2016
Key facts
- NPI
- 1124574603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 705454-1 (NY)
- Practice address
- 8 Radcliff LN
Farmingdale, NY 11735-6100 - Phone
- (917) 288-1224
- NPI assigned
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9361720 | FL | MD | Registered Nurse |
| 705454-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 705454-1 | NY | Yes |
| Registered Nurse | 163W00000X | RN9361720 | FL |
Addresses
Primary practice location
8 Radcliff LN
Farmingdale, NY 11735-6100
Mailing address
8 Radcliff LN
Farmingdale, NY 11735-6100
Phone (917) 288-1224
Other names
- Carol Martinez-Becerra
Other providers in Farmingdale, NY
- Diana Marie Basile
- Dana Bassaragh
- Joseph Bater
- Dana Battaglia
- Joscelyn Marie Bayer
- Leslie Bedford
- Christine M Beers
- Susan Marie Begina
- Daniel Belenkov
- Christiana Belisaire
All providers in Farmingdale, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.