Individual
MR. DERRICK HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1901 MADISON AVE APT 519, NEW YORK, NY 10035-2732
(917) 804-0587
Mailing address
1901 MADISON AVE APT 519, NEW YORK, NY 10035-2732
(917) 804-0587
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406909-1
NY
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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