Nicole Fame Derby, PA-C

NPI #1992428817 in Albany, New York

Provider Information

NPI Number: 1992428817
Entity Type: Individual
Name: Nicole Fame Derby, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 26, 2022
Last Updated: Sep 26, 2022

Practice Location

Address: 1367 WASHINGTON AVE STE 200
City: Albany
State: New York
ZIP Code: 12206-1048
Phone: (518) 489-2666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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