NPI 1023002862
Mark J Decker, MD
Practice location
- Address
- 150 E Sunrise Hwy 208, Lindenhurst, NY 11757-2598
- Phone
- (631) 225-7200
- Fax
- (631) 930-9451
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1023002862
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Sep 2005
- Record last updated
- 4 Apr 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.