Laura J. Derycke N.P.

NPI 1023056900 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1023056900
Gender Female
Enumeration Date 06/03/2006
Last Updated 10/24/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1425 PORTLAND AVE
ROCHESTER NY, 14621-3001, US
Phone (585) 922-4020
Fax (585) 922-4622
Business Location
1425 PORTLAND AVE
ROCHESTER NY, 14621-3001, US
Phone (585) 922-4020
Fax (585) 922-4622
Toxanomy
Taxonomy Code 363L00000X
License State New York
License Number 302186
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According to our database, Laura J. Derycke N.P. NPI is 1023056900, taxonomy code is 363L00000X and license number is 302186, license state is located at New York. Laura J. Derycke N.P. physically located at 1425 Portland Ave, Rochester NY, 14621-3001. NPI Number Laura J. Derycke N.P. has the Individual type.

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1023056900 NPI number is provided on an as is basis without warranty of any kind. 1023056900 is maintained by the National Plan & Provider Enumeration System. The contents of Laura J. Derycke N.P. are for informational purposes only.