Blevins, Derek Martin

Blevins, Derek Martin is an sole proprietor health care provider with primary practice located at 110 E 60Th St Rm 900 , New York NY 10022-1697. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Blevins, Derek Martin can be contacted via phone (914) 340-4535.

Contact Information

Primary practice address
110 E 60Th St Rm 900 New York NY 10022-1697
Phone: (914) 340-4535
Fax: (385) 355-2734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 288318 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 288318 New York

Profile Details

NPI number 1720321565
LBN Legal business name Blevins, Derek Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2013
Last updated Jul 9th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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