National Provider Identifier
Derek David George
Derek David George is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 276-5655.
Profile Overview
- NPI
- 1598387722
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 11, 2020
- Last Updated
- May 11, 2020
Practice Location
- 601 Elmwood Ave # 670
- Rochester, NY 14642-0001
Phone: (585) 276-5655
Mailing Address
- 1635 Crittenden Way
- Apt. 1
- Rochester, NY 14623
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1598387722
- Entity Type
- Individual
- Last Name
- George
- First Name
- Derek
- Middle Name
- David
- Mailing Street Address
- 1635 Crittenden Way
- Mailing Address Line 2
- Apt. 1
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623
- Mailing Country
- US
- Mailing Phone
- (303) 815-8524
- Practice Street Address
- 601 Elmwood Ave # 670
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 276-5655
- Practice Fax
- (585) 756-5183
- Enumeration Date
- May 11, 2020
- Last Updated
- May 11, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 11, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)