Helaire George Decancq JR. MD

NPI 1063408540 - Pediatrics - 208000000X

NPI Details
NPI 1063408540
Gender Male
Enumeration Date 09/21/2005
Last Updated 08/04/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
500 HELENDALE ROAD
STE 200
ROCHESTER NY, 14609-3173, US
Phone (585) 473-7028
Fax (585) 473-0051
Business Location
500 HELENDALE RD
STE 200
ROCHESTER NY, 14609-3173, US
Phone (585) 473-7028
Fax (585) 473-0051
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 89973
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According to our database, Dr. Helaire George Decancq JR. MD NPI is 1063408540, taxonomy code is 208000000X and license number is 89973, license state is located at New York. Helaire George Decancq JR. MD physically located at 500 Helendale Road, Rochester NY, 14609-3173. NPI Number Helaire George Decancq JR. MD has the Individual type.

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1063408540 NPI number is provided on an as is basis without warranty of any kind. 1063408540 is maintained by the National Plan & Provider Enumeration System. The contents of Helaire George Decancq JR. MD are for informational purposes only.