Brederson, J Derek
Brederson, J Derek is an individual health care provider with primary practice located at 60 Main St , Port Byron NY 13140-0359. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Brederson, J Derek can be contacted via phone (315) 776-9700.Contact Information
Primary practice address
60 Main St
Port Byron NY 13140-0359
Phone: (315) 776-9700
Fax: (315) 776-9701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 336768 | New York |
Profile Details
| NPI number | 1790063162 |
|---|---|
| LBN Legal business name | Brederson, J Derek |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2011 |
| Last updated | Feb 14th, 2014 - about 12 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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