National Provider Identifier
Michelle Marie Derkovitz, RPT
Michelle Marie Derkovitz, RPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 856-7500.
Profile Overview
- NPI
- 1053416560
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 13, 2006
- Last Updated
- February 03, 2012
Practice Location
- 346 Delaware Avenue
- Buffalo, NY 14202
Phone: (716) 856-7500
Mailing Address
- 6 Grace Way
- Lancaster, NY 14086-2347
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1053416560
- Entity Type
- Individual
- Last Name
- Derkovitz
- First Name
- Michelle
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- RPT
- Mailing Street Address
- 6 Grace Way
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-2347
- Mailing Country
- US
- Mailing Phone
- (716) 651-0149
- Practice Street Address
- 346 Delaware Avenue
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202
- Practice Country
- US
- Practice Phone
- (716) 856-7500
- Enumeration Date
- September 13, 2006
- Last Updated
- February 03, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)