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Stacy Derzie

NPI 1063814549 · on the registry since 2014

Practice

Address
2145 West St
Brooklyn, NY 11223
Phone
(347) 217-7822

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York