DEREK HANSON

LYNBROOK, NY
NPI1235500554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  039113-1)
Enumeration Date2015-10-13
Last Update Date2015-10-13
Business Address
DEREK HANSON PT
225 MERRICK ROAD
LYNBROOK, NY 11563-2519
Phone number: 516-599-8734
Mailing Address
DEREK HANSON PT
225 MERRICK ROAD
LYNBROOK, NY 11563-2519
Phone number: 516-599-8734
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