Individual provider · Type 1 NPI
Lauren Rose Dierlam, PA
Medical Physician Assistant · Red Hook, NY
NPI number
1285187633
Active
Practice location
7385 S Broadway # 2
Red Hook, NY 12571-1745
Fax (845) 758-9590
Mailing address
7385 S Broadway, # 2
Red Hook, NY 12571-1745
Other practice locations
- 622 W 168th St, New York, NY 10032-3720 · (212) 305-2500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1285187633
Lauren Rose Dierlam, PA's National Provider Identifier is 1285187633, issued on Aug 2, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Red Hook, NY. The record was last updated on Feb 27, 2019.