Individual
JANET DERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 HDSN VLY PROF PLZ STE 2, NEWBURGH, NY 12550-3157
(781) 530-0070
Mailing address
PO BOX 51, BUCHANAN, NY 10511-0051
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311945-01
NY
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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