Ms Mithsou Derodel, is a
Drama Therapist based in Rosedale, New York. Ms Mithsou Derodel is licensed to practice in * (Not Available) (license number ) and her current practice location is
23318 130th Ave, Rosedale, New York. She can be reached at her office (for appointments etc.) via phone at
(347) 479-7905.
NPI number for Ms Mithsou Derodel is 1366288250 and her current mailing address is 23318 130th Ave, Rosedale, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366288250.
Healthcare Provider's Profile
Full Name | Ms Mithsou Derodel |
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Gender | Female |
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Speciality | Drama Therapist |
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Location | 23318 130th Ave, Rosedale, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366288250
- Provider Enumeration Date: 07/01/2024
- Last Update Date: 07/01/2024
Medical Identifiers
Medical identifiers for Ms Mithsou Derodel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366288250 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101200000X | Drama Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mithsou Derodel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Mithsou Derodel, 23318 130th Ave, Rosedale, NY 11422-1102 Ph: (347) 479-7905 | Ms Mithsou Derodel, 23318 130th Ave, Rosedale, NY 11422-1102 Ph: (347) 479-7905 |
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