Individual
MS. MARGARET DERAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 SMITH HAVEN MALL, LAKE GROVE, NY 11755-1214
(631) 724-9055
Mailing address
124 SMITH HAVEN MALL, LAKE GROVE, NY 11755-1214
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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