DERLY M HEREDIA

ELMHURST, NY
NPI1316126287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  011032)
Enumeration Date2007-10-29
Last Update Date2007-10-29
Business Address
Ms. DERLY M HEREDIA P.A.
4028 82ND ST 2ND FLOOR
ELMHURST, NY 11373-1305
Phone number: 718-478-0338
Mailing Address
Ms. DERLY M HEREDIA P.A.
4028 82ND ST 2ND FLOOR
ELMHURST, NY 11373-1305
Phone number: 718-478-0338
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