Provider Demographics
NPI:1730355157
Name:BECCHINELLI, ELIZABETH ANNE (RPA-C)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:BECCHINELLI
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Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:875 OLD COUNTRY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4942
Mailing Address - Country:US
Mailing Address - Phone:516-931-5552
Mailing Address - Fax:516-931-6563
Practice Address - Street 1:875 OLD COUNTRY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4942
Practice Address - Country:US
Practice Address - Phone:516-931-5552
Practice Address - Fax:516-931-6563
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
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Provider Licenses
StateLicense IDTaxonomies
NY003494-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP26708Medicare UPIN