Individual provider · Type 1 NPI

Michael J. Derogatis, MD

Student in an Organized Health Care Education/Training Program · Cooperstown, NY

NPI number 1376821140 Active

Practice location

1 Atwell Rd
Cooperstown, NY 13326-1301

Call (607) 547-3456 Map

Fax (607) 547-6612

Mailing address

PO Box 725
Cooperstown, NY 13326-0725

Other practice locations

  • 2775 Schoenersville Rd, Bethlehem, PA 18017-7307 · (610) 861-8080

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1376821140

Michael J. Derogatis, MD's National Provider Identifier is 1376821140, issued on Jul 28, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cooperstown, NY. The record was last updated on Mar 24, 2020.