Basic Information
| Provider Information | |||||||||
| NPI: | 1134117237 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ALEXANDER-DECKER | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | AGNES | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 CORPORATE DR | ||||||||
| Address2: | STRATEGIC SOLUTIONS MANAGEMENT CONSULTANTS | ||||||||
| City: | HALFMOON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 120658635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5183481276 | ||||||||
| FaxNumber: | 5183838104 | ||||||||
| Practice Location | |||||||||
| Address1: | 3050 ROUTE 50 | ||||||||
| Address2: | SARATOGA HOSPITAL - SARATOGA CENTER FOR ENDOCRINOLOGY | ||||||||
| City: | SARATOGA SPRINGS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128662958 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5188865100 | ||||||||
| FaxNumber: | 5188865880 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2005 | ||||||||
| LastUpdateDate: | 03/07/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 213115 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
ID Information
| ID | Type | State | Issuer | Description | 02428811 | 05 | NY | MEDICAID | P00010846 | 01 | NY | RR MEDICARE | OTHER |