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Individual

DERRICK TRENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC

Contact information

Practice address
626 RIVERSIDE DR APT 21C, NEW YORK, NY 10031-7230
(212) 419-4904
Mailing address
626 RIVERSIDE DR APT 21C, NEW YORK, NY 10031-7230
(212) 419-4904

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
006211-1
NY

Other

Enumeration date
03/08/2018
Last updated
03/08/2018
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