Individual
ALAIN J DERZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1840 LAKEVILLE RD, NEW HYDE PARK, NY 11040-1930
(516) 354-1134
(516) 354-4412
Mailing address
1840 LAKEVILLE RD, NEW HYDE PARK, NY 11040-1930
(516) 354-1134
(516) 354-4412
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
210240
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02361719
—
NY
Enumeration date
08/31/2006
Last updated
07/08/2007
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