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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114905437 NPPES
New York MEDICAID 01482186

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