1043233232

Everything you always wanted to know about BECKS H DIEDER MD but were afraid to ask.

BECKS H DIEDER MD

You can also download the this 1043233232 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
BECKS H DIEDER MD
Gender:
Male
Enumeration date:
2006-07-26
Last update date:
2016-03-18
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
Search for DIEDER, BECKS in
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Identifiers

identifier description issuer state
03374485 Medicaid none NY
J400049483 Medicare PIN none NY

Taxonomies

Taxonomy State License Number Primary?
207L00000X Anesthesiology NY 236311-1

Phone Numbers

Type Number
Mailing Address Telephone Number 3154490513
Mailing Address Fax Number 3153625120
Practice Location Address Telephone Number 5853684362

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 2001 EAST SYRACUSE NY 13057 NY
Practice Location Address 1555 LONG POND RD ROCHESTER NY 14626 NY

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