Derek Bershad, PT, DPT

NPI #1578053526 in Lake Grove, New York

Provider Information

NPI Number: 1578053526
Entity Type: Individual
Name: Derek Bershad, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: May 15, 2018
Last Updated: May 17, 2018

Practice Location

Address: 2848 MIDDLE COUNTRY RD
City: Lake Grove
State: New York
ZIP Code: 11755-2104
Phone: (631) 780-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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