Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Lara Brooke Decter, PA

Individual provider Physician Assistant · NPI 1558967711

Mrs. Lara Brooke Decter, PA is a Physician Assistant in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

21 W 19th St
New York, NY 10011-4208
Phone: (516) 668-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024816 (NY)

Record details

NPI number1558967711
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 11, 2020
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020

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