Derek Proctor Richardson is a Dermatology Physician based in Glens Falls, NY. Derek Proctor Richardson practices in Glens Falls, NY and has the professional credentials of MD. The NPI Number for Derek Proctor Richardson is 1568552719 and holds a License No. 114475 (New York).
The current practice location address for Derek Proctor Richardson is Four Irongate Center, Glens Falls, NY and can be reached out via phone at 518-798-1778 and via fax at 518-798-1846.
Identifier | Type | State | Issuer |
---|---|---|---|
000407083001 | 01 | NY | BLUE SHIELD |
040426007626 | 01 | NY | FIDELIS |
07121 | 01 | NY | MVP HEALTH PLAN |
10001709 | 01 | NY | CDPHP |
141622071 | 01 | TAX ID # | |
48F2111 | 01 | NY | BLUE CROSS |
00352149 | 05 | NY |
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