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1184384117
DERRICK SMITH
BRONX, NY
NPI
1184384117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 1526590211)
Enumeration Date
2021-12-17
Last Update Date
2022-09-02
Business Address
DERRICK SMITH
530 TINTON AVE
BRONX, NY 10455-4516
Phone number: 646-231-1764
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Mailing Address
DERRICK SMITH
530 TINTON AVE
BRONX, NY 10455-4516
Phone number: 646-231-1764
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