Individual
DERRICK JOHN HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
276-280 ROBINSON ST, BINGHAMTON, NY 13904-1659
(607) 722-2769
(607) 772-2095
Mailing address
495 FLATBUSH AVE STE C5, BROOKLYN, NY 11225-3706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
217329
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016-00777
NORTH CAROLINA MEDICAL BOARD LICENSE
NC
Enumeration date
05/12/2009
Last updated
04/04/2023
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