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Mark Decker MD NPI 1023002862

Classification
Radiology
Type
Diagnostic Radiology
Specialization
Diagnostic Radiology
License No.
206944
License State
NY
Certified
Location

Additional Identifiers

Medical School
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year
1993
Identifier
Type
State
Identifier: TRICARE NORTH
Type: OTHER (01)
State:
Identifier: 01856591
Type: MEDICAID (05)
State: NY
Identifier: G69555
Type: MEDICARE UPIN (02)
State: NY
Identifier: 613961
Type: MEDICARE PIN (08)
State: NY
Identifier: 0521AA
Type: OTHER (01)
State: NY

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
150 E SUNRISE HWY, LINDENHURST, NY, 11757
Business Phone
631-225-7200
Mailing Address
150 E SUNRISE HWY, LINDENHURST, NY, 117572598
Mailing Phone
631-225-7200
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