Healthcare Provider Details

I. General information

NPI: 1639034911
Provider Name (Legal Business Name): DECO ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 WALLABOUT ST
BROOKLYN NY
11206-3489
US

IV. Provider business mailing address

352 WALLABOUT ST
BROOKLYN NY
11206-3489
US

V. Phone/Fax

Practice location:
  • Phone: 845-294-4208
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SHIA LEBOVITS
Title or Position: PRESIDENT
Credential:
Phone: 845-294-4208