Decter, Bruce M
Decter, Bruce M is an individual health care provider with primary practice located at 3003 New Hyde Park Rd Suite 411, New Hyde Park NY 11042-1214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Decter, Bruce M can be contacted via phone (516) 327-0001.Contact Information
Primary practice address
3003 New Hyde Park Rd Suite 411
New Hyde Park NY 11042-1214
Phone: (516) 327-0001
Fax: (516) 326-9753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 179558 | New York |
Profile Details
| NPI number | 1114905437 |
|---|---|
| LBN Legal business name | Decter, Bruce M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Jun 14th, 2012 - about 12 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 | 1114905437 | NPPES |
| New York | MEDICAID | 01482186 |
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