Individual
MR. ELI DERDIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023194
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/24/2019
Last updated
04/02/2022
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