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General NPI Number Information
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NPI Number | 1851057194
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Entity Type | Individual
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Provider Name | DEREK JAMES YOUSSEF DVM
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Gender | Male
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2143 ADAM CLAYTON POWELL JR BLVD
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City | NEW YORK
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State | NY
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Zip | 10027-3008
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Country | US
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Telephone | 212-280-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 502 VAN BUSSUM AVE APT 113
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City | SADDLE BROOK
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State | NJ
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Zip | 07663-6171
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Country | US
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Telephone | 212-810-0193
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Fax | 212-810-0194
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 013636-1
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License Number State | NY
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