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Stevenson Derodar
NPI 1982352118 · on the registry since 2022 · sole proprietor
Practice
- Address
- 765 Riverside Dr
New York, NY 10032 - Phone
- (718) 377-5000
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-16
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