Individual
NANCY A DECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 VINEYARD WAY, MOUNT SINAI, NY 11766-1832
(631) 553-5370
Mailing address
33 VINEYARD WAY, MOUNT SINAI, NY 11766-1832
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009721-1
NY
Other
Enumeration date
10/03/2010
Last updated
10/03/2010
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