Derrick Smith
Derrick Smith is a Specialist in Bronx, New York. Licensed in New York. Registered with an NPI since 2021.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
530 Tinton AveBronx, NY 10455-4516
Phone: (646) 231-1764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1526590211 (NY) |
|---|
Record details
| NPI number | 1184384117 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 17, 2021 |
| Last updated in NPPES | September 2, 2022 |
| Certification date | September 2, 2022 |
| Mailing address | 530 Tinton Ave, Bronx, NY 10455-4516 |
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