Mr. Marc Louis Dericco
Mr. Marc Louis Dericco is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
70 E 10th St Apt 20WNew York, NY 10003-5102 Not confirmed with CMS for 19 years — call before visiting
Phone: (516) 413-7773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence R053304-1 (NY) |
|---|
Record details
| NPI number | 1902921422 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | July 8, 2007 |
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