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1053416560
MICHELLE MARIE DERKOVITZ
BUFFALO, NY
NPI
1053416560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 017335-1)
Enumeration Date
2006-09-13
Last Update Date
2012-02-03
Business Address
Mrs. MICHELLE MARIE DERKOVITZ RPT
346 DELAWARE AVENUE
BUFFALO, NY 14202
Phone number: 716-856-7500
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Mailing Address
Mrs. MICHELLE MARIE DERKOVITZ RPT
6 GRACE WAY
LANCASTER, NY 14086-2347
Phone number: 716-651-0149
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