Individual
DERRICK ALEXIS GERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1835 FAIRPORT NINE MILE POINT RD STE 100, PENFIELD, NY 14526-1903
(585) 758-0777
(585) 388-9079
Mailing address
1835 FAIRPORT NINE MILE POINT RD STE 100, PENFIELD, NY 14526-1903
(585) 758-0777
(585) 388-9079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
307278
NY
363A00000X
Physician Assistant
307278
NY
Other
Enumeration date
04/13/2018
Last updated
07/07/2023
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