Search › New York › 363LA2100X
Johanna Derisca
NPI 1205639895 · on the registry since 2025 · sole proprietor
Practice
- Address
- 506 Lenox Ave
New York, NY 10037 - Phone
- (844) 692-4692
- Organisation at this address
- Harlem
Harlem Hospital
Harlem Hospital
Harlem Hospital
Harlem Hospital CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 492
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-29
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