Provider Demographics
NPI:1548828544
Name:BECK, MYRIAM ERDT (LAC)
Entity type:Individual
Prefix:MS
First Name:MYRIAM
Middle Name:ERDT
Last Name:BECK
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 HICKORY HILL DR
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-3206
Mailing Address - Country:US
Mailing Address - Phone:718-866-7699
Mailing Address - Fax:
Practice Address - Street 1:145 PALISADE ST STE 334B
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1617
Practice Address - Country:US
Practice Address - Phone:718-866-7699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006125-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist