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Contact Information

BRIAN DERSCHOWITZ, PA-C
3252 BENJAMIN RD
OCEANSIDE, NY11572-4408
 Phone: 516-655-4792
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIAN DERSCHOWITZ · (Male)

NPI # 1124530514
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/25/2017
Last updated 10/25/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
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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