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Individual

DR. MARIE DECORSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1133 PLEASANTVILLE ROAD #4, BRIARCLIFF MANOR, NY 10510-1634
(914) 762-5595
(914) 206-3500
Mailing address
1133 PLEASANTVILLE RD. #4, BRIARCLIFF MANOR, NY 10510-1634
(914) 762-5595
(914) 206-3500

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
090879
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05A511
MEDICARE PROVIDER
NY
Enumeration date
10/13/2006
Last updated
03/12/2009
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