National Provider Identifier

Derek Paul Deyoung, RN

Derek Paul Deyoung, RN is listed in the NPPES registry with a primary specialty of Administrator Registered Nurse in Buffalo, NY and a listed phone number of (716) 816-2444.

NPI 1609646553Buffalo, NYAdministrator Registered Nurse

Profile Overview

NPI
1609646553
Provider Type
Individual
Primary Specialty
Administrator Registered Nurse
Enumeration Date
January 03, 2024
Last Updated
January 27, 2024

Practice Location

  • 400 Forest Ave
  • Buffalo, NY 14213-1207

Phone: (716) 816-2444

Mailing Address

  • 14 Sylvan Pkwy
  • Akron, NY 14001-1514

Specialties

  • Administrator Registered Nurse (163WA2000X)
Full Record
NPI
1609646553
Entity Type
Individual
Last Name
Deyoung
First Name
Derek
Middle Name
Paul
Name Prefix
Mr.
Credential
RN
Mailing Street Address
14 Sylvan Pkwy
Mailing City
Akron
Mailing State
NY
Mailing ZIP Code
14001-1514
Mailing Country
US
Mailing Phone
(716) 812-5356
Mailing Fax
(716) 816-2161
Practice Street Address
400 Forest Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-1207
Practice Country
US
Practice Phone
(716) 816-2444
Practice Fax
(716) 816-2161
Enumeration Date
January 03, 2024
Last Updated
January 27, 2024
Sex
Male
Sole Proprietor
No
Certification Date
January 27, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Administrator Registered Nurse (163WA2000X)