LAURENT DERCLE

BRONX, NY
NPI1134757701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-30
Last Update Date2020-03-30
Business Address
Dr. LAURENT DERCLE MD, PhD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 917-283-0908
Mailing Address
Dr. LAURENT DERCLE MD, PhD
601 W 164TH ST APT 50
NEW YORK, NY 10032-4808
Phone number: 917-283-0908