MRS. BRENDA MARIE JOCK DEROUIN MA, CAS
NPI 1780085472
Specialist in Watertown, NY
- Individual
- Female
- Specialist
About BRENDA JOCK DEROUIN
This page provides the complete NPI Profile along with additional information for Brenda Jock Derouin, a provider established in Watertown, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1780085472 assigned on September 2014. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1780085472 Verify this NPI
- Provider Name
- MRS. BRENDA MARIE JOCK DEROUIN MA, CAS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 21638 REED RD WATERTOWN, NY 13601
- Location Phone
- (315) 786-0677
- Location Fax
- (315) 836-3782
- Mailing Address
- 14702 MILITARY RD SACKETS HARBOR, NY 13685
- Mailing Phone
- (315) 646-7074
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-12-2014
- Last Update Date
- 09-12-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License State
- NY
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
WATERTOWN, NY 13601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780085472, enumerated as an "individual" on September 12, 2014.
The provider is located at 21638 REED RD WATERTOWN, NY 13601 and the phone number is (315) 786-0677.
Specialist with taxonomy code 174400000X.
