Whalio Doctors

NPI 1023002862

Mark J Decker, MD

Practitioner Diagnostic Radiology Physician Lindenhurst, NY

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
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 206944 (NY)

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.