Giansiracusa, Derrek
Giansiracusa, Derrek is an sole proprietor health care provider with primary practice located at 11851 N 51St Ave Ste E130 , Glendale AZ 85304-2843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Giansiracusa, Derrek can be contacted via phone (623) 299-9540.Contact Information
Primary practice address
11851 N 51St Ave Ste E130
Glendale AZ 85304-2843
Phone: (623) 299-9540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 011498 | Arizona |
Profile Details
| NPI number | 1154023737 |
|---|---|
| LBN Legal business name | Giansiracusa, Derrek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2023 |
| Last updated | Mar 25th, 2025 - about last year |
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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