John P. Dervan in Stony Brook - Interventional Cardiology
John P. Dervan - NPI 1871524439
John P. Dervan is a Interventional Cardiology in Stony Brook, New York. John P. Dervan practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for John P. Dervan is 1871524439. The last update date is 2022-01-25.
John P. Dervan's current location address is 100 Nicolls Rd # T-16030, Stony Brook, New York. You can contact this provider via phone number 6314443655 and fax number 6314441054. The mailing address for John P. Dervan is 100 Nicolls Rd # T-16030, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John P. Dervan |
|---|---|
| Address | 100 Nicolls Rd # T-16030, Stony Brook, New York |
| Phone Number | 6314443655 |
| Fax Number | 6314441054 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871524439 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2022-01-25 |
Provider Mailing Address Detail
| Address | 100 Nicolls Rd # T-16030 |
|---|---|
| City | Stony Brook |
| State | New York (NY) |
| Post Code | 117948160 |
| Phone Number | 6314443655 |
| Fax Number | 6314441054 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Cardiology |
|---|---|
| Taxonomy | 207Ri0011X |
| Licence No | 166207 |
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Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 964109 | NV | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to John P. Dervan?
The John P. Dervan has been issued the NPI (National Provider Identifier) 1871524439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John P. Dervan?
The John P. Dervan is physically situated at 100 Nicolls Rd # T-16030, in the city of Stony Brook, state of NY, with the postal code 117948160.
What is John P. Dervan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John P. Dervan is Interventional Cardiology, and the taxonomy code that classifies this field of practice is 207Ri0011X.
On what date did the John P. Dervan receive its 1871524439 assignment from the Centers for Medicare & Medicaid Services?
The John P. Dervan was assigned its 1871524439 by the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date were the John P. Dervan's details last updated?
The information pertaining to the John P. Dervan, including its address, specialty, and other details, was most recently updated on 2022-01-25.