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Mary Lou Decker, PA
Medical Physician Assistant in Buffalo, New York
NPI 1528180080

Mary Lou Decker is a Medical Physician Assistant based in Buffalo, NY and is specialized in Medical. Mary Lou Decker practices in Buffalo, NY and has the professional credentials of PA. The NPI Number for Mary Lou Decker is 1528180080 and holds a License No. 0003041-1 (New York).

The current practice location address for Mary Lou Decker is 964 Delaware Ave, Buffalo, NY and can be reached out via phone at 716-863-0196.

Location: 964 Delaware Ave, Buffalo, NY, 14209-1806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528180080
Provider Name
Mary Lou Decker
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
964 Delaware Ave, Buffalo, NY, 14209-1806
Phone Number
716-863-0196
Fax Number
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
964 Delaware Ave
City
Buffalo
State
New York
Zip
14209-1806
Phone Number
716-863-0196
Fax Number
person
Provider Business Mailing Address Details
Address
964 Delaware Ave
City
Buffalo
State
New York
Zip
14209-1806
Phone Number
716-863-0196
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0003041-1 (New York)
Definition
Definition to come...
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