Provider Demographics
NPI:1467722991
Name:DECHENE, MARGARET D (RN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:D
Last Name:DECHENE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BURNS ROAD
Mailing Address - Street 2:
Mailing Address - City:LONG LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12847-0664
Mailing Address - Country:US
Mailing Address - Phone:518-359-2981
Mailing Address - Fax:518-359-2981
Practice Address - Street 1:294 HOSLEY AVE
Practice Address - Street 2:
Practice Address - City:TUPPER LAKE
Practice Address - State:NY
Practice Address - Zip Code:12986-1555
Practice Address - Country:US
Practice Address - Phone:518-359-2981
Practice Address - Fax:518-359-3415
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285508-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse