ELI DERDIK

FLUSHING, NY
NPI1629532544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  023194)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2019-01-24
Last Update Date2022-04-02
Business Address
Mr. ELI DERDIK PA
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-2000
Mailing Address
Mr. ELI DERDIK PA
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-2000
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