Individual
KARL G DERATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169-59 137TH AVE, ROCHDALE, NY 11434
(718) 525-5600
(718) 559-5285
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
227013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02425556
—
NY
Enumeration date
08/09/2006
Last updated
10/23/2025
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