Individual
DEREK PAUL GORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3448 RTE 31, BELGIUM MEADOWS, BALDWINSVILLE, NY 13027-9231
(315) 622-6595
(315) 622-3298
Mailing address
3448 RTE 31, BELGIUM MEADOWS, BALDWINSVILLE, NY 13027-9231
(315) 622-6595
(315) 622-3298
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
260721
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03351008
—
NY
Enumeration date
07/14/2008
Last updated
08/27/2013
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