Provider Demographics
NPI:1184805616
Name:BEKKER, ELINA (PA)
Entity type:Individual
Prefix:MS
First Name:ELINA
Middle Name:
Last Name:BEKKER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-6620
Mailing Address - Country:US
Mailing Address - Phone:718-599-6200
Mailing Address - Fax:718-599-1477
Practice Address - Street 1:99 DIVISION AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-6620
Practice Address - Country:US
Practice Address - Phone:718-599-6200
Practice Address - Fax:718-599-1477
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006346363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant