Organization
DECERINA UY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DECERINA D UY (MD)
(631) 509-0671
Entity
Organization
Contact information
Practice address
649 ROUTE 25A STE 3, ROCKY POINT, NY 11778-8983
(631) 509-0671
(631) 509-0672
Mailing address
649 ROUTE 25A STE 3, ROCKY POINT, NY 11778-8983
(631) 509-0671
(631) 509-0672
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01536965
—
NY
Enumeration date
01/23/2020
Last updated
01/23/2020
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