Individual
DERRICK MCQUISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
622 W 168TH ST PH 11-102, NEW YORK, NY 10032-3720
(212) 336-3330
(212) 336-3344
Mailing address
108 MAIN ST APT 1B, TARRYTOWN, NY 10591-7608
(574) 355-9648
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
043716
NY
Other
Enumeration date
01/24/2019
Last updated
05/02/2026
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