Individual
DR. ANNA LISA DERRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 77TH ST, NEW YORK, NY 10075-1802
(212) 434-2888
Mailing address
111 E 77TH ST, NEW YORK, NY 10075-1802
(212) 434-2888
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
283898
NY
2084P0800X
Psychiatry Physician
61172
CT
Other
Enumeration date
04/10/2014
Last updated
07/01/2020
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