DR. KRISTINA DERRICK


Address: Suny Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203
Phone: 7182701229

DR. KRISTINA DERRICK (NPI# 1013228469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013228469
Entity Type Individual
Full Name DR. KRISTINA DERRICK
Credential MD
Practice Address Suny Downstate Medical Center
450 Clarkson Ave
Brooklyn
NY 11203
Mailing Address Suny Downstate Medical Center
450 Clarkson Avenue
Brooklyn
NY 11203
Practice Telephone 7182701229
Mailing Telephone 7182701229
Mailing Fax Number 7182702794
Enumeration Date 2010-06-30
Last Update Date 2020-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
284537 NY Allopathic & Osteopathic Physicians
Y 390200000X Student in an Organized Health Care Education/Training Program 284537 NY Student, Health Care

Office Location

Street Address SUNY DOWNSTATE MEDICAL CENTER
450 CLARKSON AVE
City BROOKLYN
State NY
Zip Code 11203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699973081 Kay Robbins Occupational Therapist Suny Downstate Medical Center, 445 Lenox Rd. Box 30, Brooklyn, NY 11203-2098 2007-07-06
1386261626 Asher Raja Gorantla Student in an Organized Health Care Education/Training Program Suny Downstate Medical Center, 650 Clarkson Avenue, Brooklyn, NY 11203-2012 2020-07-02
1699332478 Naveed Ahmed Shaikh Student in an Organized Health Care Education/Training Program Suny Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203-2012 2019-05-28
1487114880 Yakov Arye Grossman Student in an Organized Health Care Education/Training Program Suny Downstate Medical Center, 450 Clarkson Avenue # 59, Brooklyn, NY 11203 2019-03-21
1689168916 Alastair Thomson Student in an Organized Health Care Education/Training Program Suny Downstate Medical Center, 450 Clarkson Ave., Brooklyn, NY 11203-2054 2018-06-20
1831680404 Maya Deepti Srinivasan Student in an Organized Health Care Education/Training Program Suny Downstate Medical Center, 450 Clarkson Avenue, 1262, Brooklyn, NY 11203 2018-05-19
1760979587 Sean Jau-ren Yancey Student in an Organized Health Care Education/Training Program Suny Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203 2018-04-17
1982101580 Usman Iqbal Jangda Student in an Organized Health Care Education/Training Program Suny Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203 2018-04-10
1891290169 Roshanak Benabbas Student in an Organized Health Care Education/Training Program Suny Downstate Medical Center, 450 Clarkson Ave, Department of Emergency Medicine, Brooklyn, NY 11203-2012 2018-03-28
1518487636 Sarah Lee Sahib Student in an Organized Health Care Education/Training Program Suny Downstate Medical Center, 450 Clarkson Avenue, Box 49, Brooklyn, NY 11203 2017-06-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023615747 Winnie Ming Wong Dance Therapist 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 2020-10-06
1174134803 Jermiah Jonoah Jones Social Worker 307 E 54th St, 3, Brooklyn, NY 11203 2020-08-14
1780201566 Jesvin Jeyapaulraj Student in an Organized Health Care Education/Training Program 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 2020-06-29
1881219731 Natasha Thomas Specialist 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 2020-06-16
1679197396 Syed Hamza Bin Waqar Student in an Organized Health Care Education/Training Program 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 2020-05-29
1013536846 Isaak Rubinov Student in an Organized Health Care Education/Training Program 91 E 39th St, Brooklyn, NY 11203 2020-04-12
1932733615 Shade Celestine Specialist 293 East53rd Street, Brooklyn, NY 11203 2020-03-03
1023656147 Shenez Brutus Nurse Practitioner Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 2019-12-19
1215586425 Terry-ann Lee Registered Nurse 440 East 45th Street, Kings, NY 11203 2019-09-10
1568023828 Mmeyeneabasi David Omede Student in an Organized Health Care Education/Training Program 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 2019-06-26
Find all providers in zip 11203

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639770266 Fahad Gul Khan Student in an Organized Health Care Education/Training Program 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 2020-11-02
1093313355 Nanyamkah Jacquella Washington Student in an Organized Health Care Education/Training Program 280 Sterling St, Brooklyn, NY 11225-4113 2020-10-09
1750996476 Charlotte Berthe Scott Student in an Organized Health Care Education/Training Program 543 Quincy St Apt 1, Brooklyn, NY 11221-6981 2020-09-10
1336751429 Chhabilal Bastola Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave # Im, Brooklyn, NY 11213-1122 2020-08-19
1710599840 Saujan Devkota Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave Apt 1b, Brooklyn, NY 11213-1122 2020-08-19
1831709260 Taimy Falcon-rodriguez Student in an Organized Health Care Education/Training Program 142 Jefferson Ave Apt 1, Brooklyn, NY 11216-5909 2020-07-31
1720697048 Elli Jacob Matatov Student in an Organized Health Care Education/Training Program 714 E 9th St, Brooklyn, NY 11230-2202 2020-07-23
1639797178 Alessia Field Student in an Organized Health Care Education/Training Program 450 Clarkson Ave Suny Downstate, Department of Obstetrics and Gynecology-msc24, Brooklyn, NY 11203-2012 2020-07-10
1124645361 Danielle Bensimhon Greco Student in an Organized Health Care Education/Training Program 132 Remsen St, Brooklyn, NY 11201-4275 2020-07-04
1992322267 Sohrab Singh Student in an Organized Health Care Education/Training Program House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 2020-07-02
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Competitor

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City BROOKLYN
Zip Code 11203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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