Deckelbaum, Richard
Deckelbaum, Richard is an individual health care provider with primary practice located at 3959 Broadway Columbia University Department Pediatrics, New York NY 10032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Deckelbaum, Richard can be contacted via phone (212) 927-3214.Contact Information
Primary practice address
3959 Broadway Columbia University Department Pediatrics
New York NY 10032
Phone: (212) 927-3214
Fax: (212) 544-1974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 165050 | New York |
Profile Details
| NPI number | 1801869540 |
|---|---|
| LBN Legal business name | Deckelbaum, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1801869540 | NPPES |
| New York | MEDICAID | 01181979 |
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