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Anthony Deriso

NPI 1801522065 · on the registry since 2022 · sole proprietor

Practice

Address
8914 Lizzie Ln
Huntersville, NC 28078
Phone
(704) 560-6738

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YS0200X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-28

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 North Carolina