National Provider Identifier
Paula Mary Derleth, D.C.
Paula Mary Derleth, D.C. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Penfield, NY and a listed phone number of (585) 746-0453.
Profile Overview
- NPI
- 1366602369
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 12, 2008
- Last Updated
- October 03, 2008
Practice Location
- 2 Edenfield RD
- Penfield, NY 14526-1413
Phone: (585) 746-0453
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1366602369
- Entity Type
- Individual
- Last Name
- Derleth
- First Name
- Paula
- Middle Name
- Mary
- Name Prefix
- Mrs.
- Credential
- D.C.
- Mailing Street Address
- 2 Edenfield RD
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1413
- Mailing Country
- US
- Mailing Phone
- (585) 746-0453
- Practice Street Address
- 2 Edenfield RD
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1413
- Practice Country
- US
- Practice Phone
- (585) 746-0453
- Enumeration Date
- June 12, 2008
- Last Updated
- October 03, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)