Individual
DEREK ENLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
860 FIFTH AVE, NEW YORK, NY 10021
(212) 794-2000
(212) 327-2125
Mailing address
860 FIFTH AVE, NEW YORK, NY 10021
(212) 794-2000
(212) 327-2125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
137707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00599000
—
NY
01
—
12A31
BCBS
—
Enumeration date
07/26/2006
Last updated
07/08/2007
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