person
Mark J Decker, MD
Diagnostic Radiology Physician in Lindenhurst, New York
NPI 1023002862

Mark J Decker is a Diagnostic Radiology Physician based in Lindenhurst, NY and is specialized in Diagnostic Radiology. Mark J Decker practices in Lindenhurst, NY and has the professional credentials of MD. The NPI Number for Mark J Decker is 1023002862 and holds a License No. 206944 (New York).

The current practice location address for Mark J Decker is 150 E Sunrise Hwy, Lindenhurst, NY and can be reached out via phone at 631-225-7200 and via fax at 631-930-9451.

Location: 150 E Sunrise Hwy, Lindenhurst, NY, 11757-2598
person
Provider Profile Details
NPI Number
1023002862
Provider Name
Mark J Decker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 E Sunrise Hwy, Lindenhurst, NY, 11757-2598
Phone Number
631-225-7200
Fax Number
631-930-9451
Provider Enumeration Date
09/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TRICARE NORTH 01 059587550
0521AA 01 NY GHI MEDICARE
01856591 05 NY
institution
Provider Business Practice Location Address Details
Address
150 E Sunrise Hwy
City
State
Zip
11757-2598
Phone Number
631-225-7200
Fax Number
631-930-9451
person
Provider Business Mailing Address Details
Address
150 E Sunrise Hwy
City
State
Zip
11757-2598
Phone Number
631-225-7200
Fax Number
631-930-9451
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
206944 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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