National Provider Identifier
Mary Lou Decker, PA
Mary Lou Decker, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 863-0196.
Profile Overview
- NPI
- 1528180080
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- April 04, 2007
- Last Updated
- July 08, 2007
Practice Location
- 964 Delaware Ave
- Buffalo, NY 14209-1806
Phone: (716) 863-0196
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1528180080
- Entity Type
- Individual
- Last Name
- Decker
- First Name
- Mary Lou
- Credential
- PA
- Mailing Street Address
- 964 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-1806
- Mailing Country
- US
- Mailing Phone
- (716) 863-0196
- Practice Street Address
- 964 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1806
- Practice Country
- US
- Practice Phone
- (716) 863-0196
- Enumeration Date
- April 04, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)