| Decker,sbuttoni,boghosian,dicerbo Specialists In Orthodontics | |
|
1004 Western Ave Albany NY 12203-2743 | |
| (518) 489-8377 | |
| (518) 489-8462 |
| Full Name | Decker,sbuttoni,boghosian,dicerbo Specialists In Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1004 Western Ave, Albany, New York |
| Authorized Official Name and Position | A. Thomas Decker (PRESIDENT) |
| Authorized Official Contact | 5184898377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decker,sbuttoni,boghosian,dicerbo Specialists In Orthodontics 1004 Western Ave Albany NY 12203-2743 Ph: (518) 489-8377 | Decker,sbuttoni,boghosian,dicerbo Specialists In Orthodontics 1004 Western Ave Albany NY 12203-2743 Ph: (518) 489-8377 |
| NPI Number | 1831229418 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831229418 | NPI | - | NPPES |
| 00555151 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0299761 (New York) | Primary |
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