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Individual

DR. DEREK LEZAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5455 KINGS HWY, BROOKLYN, NY 11203-6040
(718) 629-4020
Mailing address
5455 KINGS HWY, BROOKLYN, NY 11203-6040
(718) 629-4020

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
007667
NY

Other

Enumeration date
02/19/2007
Last updated
07/08/2007
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