National Provider Identifier
Ivan Derrick Atkins
Ivan Derrick Atkins is listed in the NPPES registry with a primary specialty of Driver in Rochester, NY and a listed phone number of (585) 576-0068.
Profile Overview
- NPI
- 1144979154
- Provider Type
- Individual
- Primary Specialty
- Driver
- Enumeration Date
- March 18, 2022
- Last Updated
- March 18, 2022
Practice Location
- 50 Dodge St
- Rochester, NY 14606-1523
Phone: (585) 576-0068
Mailing Address
- 50 Dodge St Apt B
- Rochester, NY 14606-1523
Specialties
- Driver (172A00000X)
Full Record
- NPI
- 1144979154
- Entity Type
- Individual
- Last Name
- Atkins
- First Name
- Ivan
- Middle Name
- Derrick
- Mailing Street Address
- 50 Dodge St Apt B
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-1523
- Mailing Country
- US
- Mailing Phone
- (585) 576-0068
- Practice Street Address
- 50 Dodge St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-1523
- Practice Country
- US
- Practice Phone
- (585) 576-0068
- Enumeration Date
- March 18, 2022
- Last Updated
- March 18, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Driver (172A00000X)