DEREK FENTON

OGDENSBURG, NY
NPI1245923424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  351949)
Enumeration Date2023-06-01
Last Update Date2023-06-01
Business Address
DEREK FENTON
102 FORD ST
OGDENSBURG, NY 13669-1402
Phone number: 315-713-9350
Mailing Address
DEREK FENTON
102 FORD ST
OGDENSBURG, NY 13669-1402
Phone number:
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