Individual
SUSAN C. DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
401 GEYSER RD, BICK WANCK MD & ASSOCIATES, SARATOGA SPRINGS, NY 12866-9069
(518) 583-3035
(518) 583-4247
Mailing address
401 GEYSER RD, BICK WANCK MD & ASSOCIATES, SARATOGA SPRINGS, NY 12866-9069
(518) 583-3035
(518) 583-4247
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400647-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400647-1
NURSE PRACTITIONER, PSYCH
NY
Enumeration date
07/31/2006
Last updated
07/08/2007
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