MEDICARE: LINDA V DECHERRIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	227657	NY
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	25MA12880700	NJ
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	DR.0077377	CO

General Provider Information

NPI Number	:	1982635579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA V DECHERRIE MD

Provider Business Mailing Address
First Line	:	511 E 84TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-7301
Country	:	US
Telephone Number	:	917-583-3810
Fax Number	:	212-731-5210

Provider Business Practice Location Address
First Line	:	1 GUSTAVE L LEVY PL
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6504
Country	:	US
Telephone Number	:	212-241-4141
Fax Number	:	212-426-5108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	06/01/2026

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Directions to “ LINDA V DECHERRIE MD” Practice Location

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