Individual
DEREK M MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9335
(212) 305-8636
Mailing address
630 W 168TH ST # MC28, NEW YORK, NY 10032-3725
(212) 305-1948
(212) 305-5777
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD-48982
IA
2085R0202X
Diagnostic Radiology Physician
247784
NY
2085R0202X
Diagnostic Radiology Physician
Primary
35.146684
OH
2085R0202X
Diagnostic Radiology Physician
MD-48982
IA
Other
Enumeration date
04/10/2008
Last updated
04/17/2023
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