LARA BROOKE DECTER

NEW YORK, NY
NPI1558967711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  024816)
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
Mrs. LARA BROOKE DECTER PA
21 W 19TH ST
NEW YORK, NY 10011-4208
Phone number: 516-668-7950
Mailing Address
Mrs. LARA BROOKE DECTER PA
60 E 8TH ST APT 26M
NEW YORK, NY 10003-6522
Phone number: 516-668-7950
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