Derrick L Birmingham in Bronx - Physician Assistant

Derrick L Birmingham - NPI 1952336380

Derrick L Birmingham is a Physician Assistant in Bronx, New York. Derrick L Birmingham practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Derrick L Birmingham is 1952336380. The last update date is 2013-10-08.

Derrick L Birmingham's current location address is 1957 Williamsbridge Rd, Bronx, New York. You can contact this provider via phone number 7188286060 and fax number 7187921960. The mailing address for Derrick L Birmingham is 1957 Williamsbridge Rd, Bronx, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Derrick L Birmingham
Address 1957 Williamsbridge Rd, Bronx, New York
Phone Number 7188286060
Fax Number 7187921960
Sole Proprietor N
Credentials RPA

NPI Number Detail

NPI Number 1952336380
Provider Enumeration Date 2006-07-12
Last Updated Date 2013-10-08

Provider Mailing Address Detail

Address 1957 Williamsbridge Rd
City Bronx
State New York (NY)
Post Code 104611604
Phone Number 7188286060
Fax Number 7187921960

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 003897-1
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
245643 NY --
2867449 NY --

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FAQs about Derrick L Birmingham

What is the Derrick L Birmingham's 1952336380?

The Derrick L Birmingham's NPI (National Provider Identifier) Number is 1952336380. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Derrick L Birmingham is physically located?

The Derrick L Birmingham is situated at the following address: 1957 Williamsbridge Rd, Bronx, NY 104611604.

What is Derrick L Birmingham's area of expertise and its corresponding taxonomy classification?

The Derrick L Birmingham's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1952336380 to Derrick L Birmingham?

The Derrick L Birmingham received its 1952336380 assignment from the Centers for Medicare & Medicaid Services on 2006-07-12.

When was the information pertaining to Derrick L Birmingham most recently updated or revised?

The details related to Derrick L Birmingham, including its address, specialty, and other relevant information, were last updated or revised on 2013-10-08.

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