Louis Peter Decunzo JR.
Cardiothoracic Vascular Surgeon
14 Hudson Avenue Surgical Specialists Of Glens Falls Hospital
Glens Falls
, New York 12801-4443
Louis Peter Decunzo JR.
Cardiothoracic Vascular Surgeon
14 Hudson Avenue Surgical Specialists Of Glens Falls Hospital
Glens Falls
, New York 12801-4443
(518) 926-6983
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Louis Peter Decunzo JR.
- 100 Park Street
- Glens Falls, NY
- Zip : 12801-4413
- Fax : (518) 926-6983
- Phone : (518) 926-5924
Second Address
- Louis Peter Decunzo JR.
- 14 Hudson Avenue Surgical Specialists Of Glens Falls Hospital
- Glens Falls, NY
- Zip : 12801-4443
- Fax : (518) 926-5605
- Phone : (518) 926-5600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 201484 | NY |
National Provider Identifier
| NPI | 1124000864 |
|---|---|
| Provider Name | Louis Peter Decunzo JR. |
| First Address | Glens Falls, NY 12801-4413 |
| Second Address | Glens Falls, NY 12801-4443 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2005 |
| Last Update Date | 10/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01617601 | (05) | NY |
| P00402831 | RR MEDICARE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.