Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD DECLUE, PA
ActiveMR. RICHARD DECLUE, PA is a Physician Assistant healthcare provider located in WEST ISLIP, New York. NPI 1093769416 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WEST ISLIP, NY
Registration Details
- NPI Number
- 1093769416
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2006 (20.194891793712 yrs)
- Last Updated
- May 29, 2008
- License
-
001473 (NY)
Practice Information
- Address
-
1000 MONTAUK HWYWEST ISLIP, NY, 117954927Browse NY providers · Browse ZIP 11795
- Phone
- 6313763000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEST ISLIP, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. HEATHER LUCIDO | PA | 1346295557 |
| CHARLES LEVINSON | PA | 1962440834 |
| MR. FRANK KARP | PA | 1952345100 |
| MARK ZENDER | PA | 1750317871 |
| CHRISTINA STILLWELL | PA | 1609802669 |
| GRAZYNA KEDZIOR | PA | 1457387193 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.