Individual
ALAN DERZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8773
(718) 283-8796
Mailing address
GPO BOX 29580, NEW YORK, NY 10087-9580
(718) 283-8773
(718) 283-8796
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
229148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02522961
—
NY
Enumeration date
11/08/2006
Last updated
07/08/2007
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