Decesare, Mark W
Decesare, Mark W is an individual health care provider with primary practice located at 572 Ulster Ave , Kingston NY 12401-1924. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Decesare, Mark W can be contacted via phone (845) 339-6000.Contact Information
Primary practice address
572 Ulster Ave
Kingston NY 12401-1924
Phone: (845) 339-6000
Fax: (845) 339-6065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X004697 | New York |
Profile Details
| NPI number | 1972584266 |
|---|---|
| LBN Legal business name | Decesare, Mark W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jan 19th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972584266 | NPPES |
| New York | Other | GHI5803085 | GROUP HEALTH INSURANCE |
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