Jonathan William Decker D.O.

NPI 1619275781 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1619275781
Gender Male
Enumeration Date 03/14/2011
Last Updated 03/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1300 ROANOKE AVE
RIVERHEAD NY, 11901-2031, US
Phone (631) 548-6000
Fax
Business Location
63 LONG TREE LN APT 9
MORICHES NY, 11955-2048, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jonathan William Decker D.O. NPI is 1619275781, taxonomy code is 390200000X Jonathan William Decker D.O. physically located at 1300 Roanoke Ave, Riverhead NY, 11901-2031. NPI Number Jonathan William Decker D.O. has the Individual type.

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1619275781 NPI number is provided on an as is basis without warranty of any kind. 1619275781 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan William Decker D.O. are for informational purposes only.