Kordai I Decoteau, DPM | |
60 Evergreen Place, Suite 400, East Orange, NJ 07018 | |
(973) 395-1550 | |
(973) 395-1556 |
Full Name | Kordai I Decoteau |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 23 Years |
Location | 60 Evergreen Place, East Orange, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104872225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | N005951 1 (New York) | Secondary |
213E00000X | Podiatrist | 25MD00333900 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Neighborhood Health Services Corporation | 3072402395 | 7 |
Provider Name | Neighborhood Health Services Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003850488 PECOS PAC ID: 3072402395 Enrollment ID: O20110713000253 |
Mailing Address | Practice Location Address |
---|---|
Kordai I Decoteau, DPM 21 Edgewood Road, Summit, NJ 07901 Ph: (973) 395-1550 | Kordai I Decoteau, DPM 60 Evergreen Place, Suite 400, East Orange, NJ 07018 Ph: (973) 395-1550 |
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