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Contact Information

MITHSOU DERODEL
23318 130TH AVE
ROSEDALE, NY11422-1102
 Phone: 347-479-7905
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Drama Therapist

101200000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MITHSOU DERODEL · (Female)

NPI # 1366288250
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2024
Last updated 07/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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