Individual
JULIANA DERFEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 LAKEVILLE RD STE 107, NEW HYDE PARK, NY 11042-1102
(516) 465-5400
Mailing address
107 CAMP RD, ELLENVILLE, NY 12428-5941
(917) 518-7873
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
284071
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2014
Last updated
09/30/2020
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