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

Tina M Decarlo

Individual provider Specialist · NPI 1467141739

Tina M Decarlo is a Specialist in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

171 Intrepid Ln
Syracuse, NY 13205-2548
Phone: (315) 437-4689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1467141739
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing address171 Intrepid Ln, Syracuse, NY 13205-2548

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