Search › New York › 207RC0000X
John Dervan, MD
NPI 1871524439 · on the registry since 2006
Practice
- Address
- 100 Nicolls Rd # T-16030
Stony Brook, NY 11794 - Phone
- (631) 444-3655
- Fax
- (631) 444-1054
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207RI0011X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-25
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