Search › New York › 104100000X
Derrick Polite, LMSW CASAC-T
NPI 1023376084 · on the registry since 2012 · sole proprietor
Practice
- Address
- 89-31 161th Street
Jamaica, NY 11432 - Phone
- (718) 206-0218
- Fax
- (718) 206-1091
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York