Individual
IRINA DERKACHEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, LCAT
Contact information
Practice address
37 WASHINGTON SQ W, NEW YORK, NY 10011-9181
(240) 506-0378
Mailing address
37 WASHINGTON SQ W, NEW YORK, NY 10011-9181
(240) 506-0378
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001811
NY
Other
Enumeration date
01/09/2016
Last updated
10/09/2024
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