Organization
DEC MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA OTANO (BILLING MANAGER)
(718) 306-9769
Entity
Organization
Contact information
Practice address
149 WOODMERE BLVD S, WOODMERE, NY 11598-1845
(516) 200-6441
(516) 612-2267
Mailing address
149 WOODMERE BLVD S, WOODMERE, NY 11598-1845
(516) 200-6441
(516) 612-2267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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