Scott Howard Deckelbaum DO

NPI 1730100892 - Family Medicine - 207Q00000X

NPI Details
NPI 1730100892
Gender Male
Enumeration Date 07/22/2006
Last Updated 04/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
250 DELAWARE AVE
SUITE 207
DELMAR NY, 12054-1401, US
Phone (518) 690-0789
Fax (518) 641-0098
Business Location
711 TROY SCHENECTADY RD
SUITE 203
LATHAM NY, 12110-2442, US
Phone (518) 782-3700
Fax (518) 782-3799
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 235559-1
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According to our database, Scott Howard Deckelbaum DO NPI is 1730100892, taxonomy code is 207Q00000X and license number is 235559-1, license state is located at New York. Scott Howard Deckelbaum DO physically located at 250 Delaware Ave, Delmar NY, 12054-1401. NPI Number Scott Howard Deckelbaum DO has the Individual type.

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1730100892 NPI number is provided on an as is basis without warranty of any kind. 1730100892 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Howard Deckelbaum DO are for informational purposes only.