Cobb, Derrick

Cobb, Derrick is an sole proprietor health care provider with primary practice located at 7 Seafield Ln , Westhampton Beach NY 11978-2714. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Cobb, Derrick can be contacted via phone (631) 205-8044.

Contact Information

Primary practice address
7 Seafield Ln Westhampton Beach NY 11978-2714
Phone: (631) 205-8044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 26043 New York

Profile Details

NPI number 1205259892
LBN Legal business name Cobb, Derrick
Credentials CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2014
Last updated Feb 2nd, 2014 - about 11 years 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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