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Michael J Derogatis, MD
Student in an Organized Health Care Education/Training Program in Cooperstown, New York
NPI 1376821140

Michael J Derogatis is a Student in an Organized Health Care Education/Training Program based in Cooperstown, NY. Michael J Derogatis practices in Cooperstown, NY and has the professional credentials of MD. The NPI Number for Michael J Derogatis is 1376821140 and holds a License No. (New York).

The current practice location address for Michael J Derogatis is 1 Atwell Rd, Cooperstown, NY and can be reached out via phone at 607-547-3456 and via fax at 607-547-6612. You can also correspond with Michael J Derogatis through the mailing address at PO BOX 725, COOPERSTOWN, NY - 13326-0725 (mailing address contact number: 607-547-3456).

Location: 1 Atwell Rd, Cooperstown, NY, 13326-0725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376821140
Provider Name
Michael J Derogatis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Atwell Rd, Cooperstown, NY, 13326-0725
Phone Number
607-547-3456
Fax Number
607-547-6612
Provider Enumeration Date
07/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Atwell Rd
City
Cooperstown
State
New York
Zip
13326-1301
Phone Number
607-547-3456
Fax Number
607-547-6612
person
Provider Business Mailing Address Details
Address
1 Atwell Rd
City
Cooperstown
State
New York
Zip
13326-1301
Phone Number
607-547-3456
Fax Number
607-547-6612
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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