Individual provider · Type 1 NPI

Jacques A. Derzie, MD

Specialist · New Hyde Park, NY

NPI number 1821035262 Active

Practice location

1840 Lakeville Road
New Hyde Park, NY 11040-1930

Call (516) 354-1234 Map

Fax (516) 354-6385

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Specialist Primary 174400000X099934 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1821035262

Jacques A. Derzie, MD's National Provider Identifier is 1821035262, issued on Jun 2, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New Hyde Park, NY. The record was last updated on Dec 30, 2008.