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1275037327
NICHOLAS PETER DERRICO
BRONX, NY
NPI
1275037327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
Mr. NICHOLAS PETER DERRICO MD
1400 PELHAM PKWY S
BRONX, NY 10461-1197
Phone number: 718-696-2583
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Mailing Address
Mr. NICHOLAS PETER DERRICO MD
1400 PELHAM PKWY S
BRONX, NY 10461-1197
Phone number: 718-696-2583
Copy
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