Individual
DR. KEVIN B DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32 CONKEY AVE, NORWICH, NY 13815-1762
(607) 337-4174
Mailing address
251 STATE HWY #320, NORWICH, NY 13815
(607) 336-3034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040681
NY
Other
Enumeration date
10/23/2006
Last updated
12/09/2011
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