Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derrick Trent, LAC

Individual provider Pain Medicine Physician · NPI 1265934913

Derrick Trent, LAC is a Pain Medicine Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

626 Riverside Dr Apt 21C
New York, NY 10031-7230
Phone: (212) 419-4904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 006211-1 (NY)

Record details

NPI number1265934913
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedMarch 8, 2018
Last updated in NPPESMarch 8, 2018

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