Janet L Beccaro, M.D.

Individual provider Active NPI Internal Medicine Physician · Plainview, NY

NPI 1922069764 · NPPES record last updated Sep 5, 2012

Key facts

NPI
1922069764
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
158542 (NY)
Practice address
1181 Old Country Rd Ste 8
Plainview, NY 11803-5018
Phone
(516) 277-2630
Fax
(516) 277-2629
NPI assigned
Mar 31, 2006
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)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 158542 NY Yes

Addresses

Primary practice location

1181 Old Country Rd Ste 8
Plainview, NY 11803-5018

Mailing address

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 823-8329

Other identifiers

IdentifierTypeStateIssuer
01129620MedicaidNY

Other providers in Plainview, NY

All providers in Plainview, NY · Internal Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.