Zachary Decant D.O.

NPI 1417343922 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1417343922
Gender Male
Enumeration Date 04/10/2015
Last Updated 04/10/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
47 NEW SCOTLAND AVE
DEPT OF INTERAL MEDICINE
ALBANY NY, 12208-3412, US
Phone (518) 262-5377
Fax
Business Location
785 GRASSY HILL ROAD
ORANGE CT, 06477, US
Phone (203) 640-5819
Fax
Toxanomy
Taxonomy Code 390200000X
License State Connecticut
License Number 63587
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According to our database, Zachary Decant D.O. NPI is 1417343922, taxonomy code is 390200000X and license number is 63587, license state is located at Connecticut. Zachary Decant D.O. physically located at 47 New Scotland Ave, Albany NY, 12208-3412. NPI Number Zachary Decant D.O. has the Individual type.

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1417343922 NPI number is provided on an as is basis without warranty of any kind. 1417343922 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Decant D.O. are for informational purposes only.