Rias, Derick Wayne

Rias, Derick Wayne is an sole proprietor health care provider with primary practice located at 18361 Elmira Ave , Saint Albans NY 11412-1515. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rias, Derick Wayne can be contacted via phone (718) 454-3962.

Contact Information

Primary practice address
18361 Elmira Ave Saint Albans NY 11412-1515
Phone: (718) 454-3962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002394 New York

Profile Details

NPI number 1083924500
LBN Legal business name Rias, Derick Wayne
Credentials RPAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2010
Last updated Oct 18th, 2010 - about 14 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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