Individual
DR. LAURA J DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16 W BRIDGE ST, SAUGERTIES, NY 12477-1415
(845) 246-3000
(845) 246-7622
Mailing address
16 WEST BRIDGE ST, SAUGERTIES, NY 12477
(845) 246-3000
(845) 246-7622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
195667-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01674235
—
NY
01
—
080117483
RAILROAD MEDICARE
—
01
—
087231
MVP
NY
01
—
10031712
CDPHP
NY
01
—
215424
WELLCARE
—
01
—
69117
GHI HMO
—
01
—
LD06883010
EMPIRE BLUE CROSS
—
Enumeration date
05/27/2005
Last updated
05/13/2008
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