Healthcare Provider Details
I. General information
NPI: 1548340532
Provider Name (Legal Business Name): DECO ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/16/2006
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3141 RTE 9W SUITE 300
NEW WINDSOR NY
12553-6710
US
IV. Provider business mailing address
3141 RTE 9W SUITE 300
NEW WINDSOR NY
12553-6710
US
V. Phone/Fax
- Phone: 845-294-4208
- Fax: 845-294-0773
- Phone: 845-294-4208
- Fax: 845-294-0773
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | 1548340532 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SHIA
LEBOVITS
Title or Position: OWNER
Credential:
Phone: 845-294-4208