GRANT DALE-DERKS, DO

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1386303550

Practice Address

4422 3RD AVE
Bronx, NY 10457

Phone: (718) 960-9000

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1386303550 is the National Provider Identifier for GRANT DALE-DERKS, DO, a Student in an Organized Health Care Education/Training Program provider located in Bronx, NY. This NPI was enumerated on December 14, 2021.
GRANT DALE-DERKS, DO practices at 4422 3RD AVE, Bronx, NY 10457.

Quick Facts

NPI
1386303550
Type
Individual
Enumerated
Dec 14, 2021
Last Updated
Jan 30, 2024

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