BIANCA ANGELIQUE DERRICK

NEW YORK, NY
NPI1871369629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-12-01
Last Update Date2024-04-17
Business Address
BIANCA ANGELIQUE DERRICK
407 E 70TH ST FL 2
NEW YORK, NY 10021-5352
Phone number: 212-772-7190
Mailing Address
BIANCA ANGELIQUE DERRICK
2144 7TH ST
EAST MEADOW, NY 11554-1823
Phone number: