Individual
DERRIK J HARADON-CHRISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
12053 OAKFIELD CIR, BIG FLATS, NY 14814-9600
(607) 368-1267
Mailing address
12053 OAKFIELD CIR, BIG FLATS, NY 14814-9600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
819538
NY
163W00000X
Registered Nurse
RN799382
PA
363LF0000X
Family Nurse Practitioner
Primary
357372
NY
363LF0000X
Family Nurse Practitioner
SP033192
PA
Other
Enumeration date
05/01/2024
Last updated
08/04/2025
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