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1952336380
DERRICK L BIRMINGHAM
BRONX, NY
NPI
1952336380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 003897-1)
Enumeration Date
2006-07-12
Last Update Date
2013-10-08
Business Address
Mr. DERRICK L BIRMINGHAM RPA
1957 WILLIAMSBRIDGE RD
BRONX, NY 10461-1604
Phone number: 718-828-6060
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Mailing Address
Mr. DERRICK L BIRMINGHAM RPA
1957 WILLIAMSBRIDGE RD
BRONX, NY 10461-1604
Phone number: 718-828-6060
Copy
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