Individual
HEIDI G DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10 HELLBROOK LN, ULSTER PARK, NY 12487-5209
(845) 658-7763
Mailing address
10 HELLBROOK LN, ULSTER PARK, NY 12487-5209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043320
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-768-267
—
NY
Enumeration date
07/21/2006
Last updated
03/07/2023
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