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Dr. John P. Dervan, MD
Cardiovascular Disease Physician in Stony Brook, New York
NPI 1871524439

John P. Dervan is a Cardiovascular Disease Physician based in Stony Brook, NY and is specialized in Cardiovascular Disease. John P. Dervan practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for John P. Dervan is 1871524439 and holds a License No. 166207 (New York).

The current practice location address for John P. Dervan is 100 Nicolls Rd # T-16030, Stony Brook, NY and can be reached out via phone at 631-444-3655 and via fax at 631-444-1054.

Location: 100 Nicolls Rd # T-16030, Stony Brook, NY, 11794-8160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871524439
Provider Name
John P. Dervan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Nicolls Rd # T-16030, Stony Brook, NY, 11794-8160
Phone Number
631-444-3655
Fax Number
631-444-1054
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00964109 05 NV
institution
Provider Business Practice Location Address Details
Address
100 Nicolls Rd # T-16030
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-3655
Fax Number
631-444-1054
person
Provider Business Mailing Address Details
Address
100 Nicolls Rd # T-16030
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-3655
Fax Number
631-444-1054
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
166207 (New York)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
166207 (New York)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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