Individual
DONNA MARIE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
122 PARK AVE, SCHENECTADY, NY 12304-1628
(518) 346-2387
Mailing address
PO BOX 287, ROUND LAKE, NY 12151-0287
(518) 461-4776
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
444698
NY
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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