Individual
DR. DEREK MARTIN BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 E 60TH ST RM 900, NEW YORK, NY 10022-1697
(914) 340-4535
(385) 355-2734
Mailing address
120 E 56TH ST RM 300, NEW YORK, NY 10022-3753
(914) 340-4535
(385) 355-2734
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
288318
NY
2084P0802X
Addiction Psychiatry Physician
288318
NY
Other
Enumeration date
03/29/2013
Last updated
07/09/2024
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