Decancq, Helaire George

Decancq, Helaire George is an sole proprietor health care provider with primary practice located at 500 Helendale Road Ste 200, Rochester NY 14609-3173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Decancq, Helaire George can be contacted via phone (585) 473-7028.

Contact Information

Primary practice address
500 Helendale Road Ste 200 Rochester NY 14609-3173
Phone: (585) 473-7028
Fax: (585) 473-0051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 89973 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 089973 New York

Profile Details

NPI number 1063408540
LBN Legal business name Decancq, Helaire George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Aug 4th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063408540 NPPES
New York MEDICAID 00448779

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