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1376028100
DEREK NIE
BRONX, NY
NPI
1376028100
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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
2018-09-27
Last Update Date
2022-04-27
Business Address
DEREK NIE MD, student
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
DEREK NIE MD, student
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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