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1194289140
DERRICK MCQUISTON
NEW YORK, NY
NPI
1194289140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist Orthopedic
(Licence: NY 043716)
Enumeration Date
2019-01-24
Last Update Date
2023-03-20
Business Address
DERRICK MCQUISTON PT
622 W 168TH ST PH 11-102
NEW YORK, NY 10032-3720
Phone number: 212-336-3330
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Mailing Address
DERRICK MCQUISTON PT
2600 NETHERLAND AVE APT 3009
BRONX, NY 10463-4817
Phone number:
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