Individual
MATTHEW DERMKSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-8312
Mailing address
203 LEGEND DR APT 2407, SLEEPY HOLLOW, NY 10591-2965
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/26/2025
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