Provider Demographics
NPI:1538165634
Name:BECHER, RODNEY ALLAN (MD)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:ALLAN
Last Name:BECHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1163 ROOSEVELT WAY
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6647
Mailing Address - Country:US
Mailing Address - Phone:516-770-8469
Mailing Address - Fax:516-597-4040
Practice Address - Street 1:1163 ROOSEVELT WAY
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-6647
Practice Address - Country:US
Practice Address - Phone:516-770-8469
Practice Address - Fax:516-597-4040
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2018-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY120293208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00278193Medicaid
NYB13442Medicare UPIN
NY342172Medicare ID - Type Unspecified
NY00278193Medicaid