person
Dr. Perika Shaugn Deroche, MD
Student in an Organized Health Care Education/Training Program in Johnson City, New York
NPI 1093001422

Perika Shaugn Deroche is a Student in an Organized Health Care Education/Training Program based in Johnson City, NY. Perika Shaugn Deroche practices in Johnson City, NY and has the professional credentials of MD. The NPI Number for Perika Shaugn Deroche is 1093001422 and holds a License No. (New York).

The current practice location address for Perika Shaugn Deroche is 40 Arch St, Johnson City, NY and can be reached out via phone at 607-763-6075 and via fax at 607-763-5234.

Location: 40 Arch St, Johnson City, NY, 13790-2102
person
Provider Profile Details
NPI Number
1093001422
Provider Name
Perika Shaugn Deroche
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
40 Arch St, Johnson City, NY, 13790-2102
Phone Number
607-763-6075
Fax Number
607-763-5234
Provider Enumeration Date
06/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 Arch St
City
State
Zip
13790-2102
Phone Number
607-763-6075
Fax Number
607-763-5234
person
Provider Business Mailing Address Details
Address
40 Arch St
City
State
Zip
13790-2102
Phone Number
607-763-6075
Fax Number
607-763-5234
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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