Valerie Ann Derzie
Specialist in Port Jeff Sta, NY. Individual provider (NPI-1).
NPI number1104593045
StatusActive
Last updated in NPPESAug 27, 2021
Details
- NPI
- 1104593045
- Entity type
- Individual (NPI-1)
- Name
- Valerie Ann Derzie
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2021
- Certification date
- Aug 27, 2021
- Last updated
- Aug 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | NY | Yes |
Practice location
299 Hallock AvePort Jeff Sta, NY 11776-1217
Phone 631-473-4284
Mailing address
299 Hallock AvePort Jefferson Station, NY 11776-1217
Phone 917-474-9833
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All 19 Specialist providers in Port Jeff Sta · All 51 providers in Port Jeff Sta
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