Marc Dericco

NPI 1902921422 · on the registry since 2007 · sole proprietor

Practice

Address: 70 E 10th St
Apartment 20w
New York, NY 10003
Phone: (516) 413-7773
Organisation at this address: Thomas Tm Chang Md Pc
Thomas Tm Chang, Md Pc
Integrative Acupuncture, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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