Provider Demographics
NPI:1295810141
Name:DECTER, JULIAN A (MD)
Entity type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:A
Last Name:DECTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:407 E 70TH ST
Mailing Address - Street 2:3TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5327
Mailing Address - Country:US
Mailing Address - Phone:212-517-5900
Mailing Address - Fax:212-744-0029
Practice Address - Street 1:407 E 70TH ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5327
Practice Address - Country:US
Practice Address - Phone:212-517-5900
Practice Address - Fax:212-744-0029
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2015-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY102885207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC52780Medicare UPIN
NY0103K1Medicare PIN
NJ049295Medicare PIN