Jonathan Paul Derryberry
Jonathan Paul Derryberry is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1400 Pelham Pkwy S Rm 6S11Bronx, NY 10461-1197
Phone: (718) 918-5000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1184474652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 26, 2024 |
| Last updated in NPPES | March 26, 2024 |
| Certification date | March 26, 2024 |
| Mailing address | 1400 Pelham Pkwy S Rm 6s11, Bronx, NY 10461-1197 |
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