Individual provider · Type 1 NPI

Richard Faator Dery, MD

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

NPI number 1942182233 Active

Practice location

760 Broadway, Pediatric Administration / 6th Floor Room 6027
Brooklyn, NY 11206-5317

Call (718) 963-8779 Map

Fax (718) 963-7957

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 1942182233

Richard Faator Dery, MD's National Provider Identifier is 1942182233, issued on Jul 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on May 21, 2026.