Thomas Jay Decker I
Thomas Jay Decker I is a Peer Specialist in Ticonderoga, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
50 Montcalm StTiconderoga, NY 12883-1393
Phone: (518) 585-7934
Fax: (518) 585-9132
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1437883709 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 13, 2022 |
| Last updated in NPPES | July 13, 2022 |
| Certification date | July 13, 2022 |
| Mailing address | 50 Montcalm St, Ticonderoga, NY 12883-1393 |