JELANI CHARLES DERRICK

STATEN ISLAND, NY
NPI1942836846
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  7446491)
Enumeration Date2020-03-23
Last Update Date2020-03-23
Business Address
Mr. JELANI CHARLES DERRICK RN
390 GOWER ST
STATEN ISLAND, NY 10314-5333
Phone number: 718-715-9087
Mailing Address
Mr. JELANI CHARLES DERRICK RN
390 GOWER ST
STATEN ISLAND, NY 10314-5333
Phone number: 718-715-9087
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