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Deraczi Martinez

NPI 1205636305 · on the registry since 2025 · sole proprietor

Practice

Address
38 Jennings Rd
Richford, NY 13835
Phone
(607) 423-8613
Fax
(607) 213-4050

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-17

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