Provider Demographics
NPI:1245632587
Name:DECO ASSOCIATES
Entity type:Organization
Organization Name:DECO ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:COONS
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:203-858-2703
Mailing Address - Street 1:30 MATTHEWS ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-1963
Mailing Address - Country:US
Mailing Address - Phone:845-294-4208
Mailing Address - Fax:845-294-0773
Practice Address - Street 1:1073 YONKERS AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3123
Practice Address - Country:US
Practice Address - Phone:914-237-3777
Practice Address - Fax:917-237-3778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies