Individual
DR. SALVATORE P. DERICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
141 UNDERHILL AVE, WEST HARRISON, NY 10604-2539
(914) 948-7616
Mailing address
141 UNDERHILL AVE, WEST HARRISON, NY 10604-2539
(914) 948-7616
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
041481
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7292
CT
Other
Enumeration date
01/06/2007
Last updated
01/29/2024
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