Individual
DERRICK RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
576 LOGAN ST STE 2, BROOKLYN, NY 11208-3702
(929) 526-8414
(646) 905-8487
Mailing address
576 LOGAN ST STE 2, BROOKLYN, NY 11208-3702
(929) 526-8414
(646) 905-8487
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/07/2023
Last updated
03/15/2023
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