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Search › New York › 363AM0700X

Derly Heredia, P.A

NPI 1316126287 · on the registry since 2007 · sole proprietor

Practice

Address
4028 82nd St
2nd Floor
Elmhurst, NY 11373
Phone
(718) 478-0338
Fax
(718) 478-6050
Organisation at this address
Gregory M Lopez Odpc
Eyes & Optics Elmhurst Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-10-29

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