Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DERRICK COBB, CASAC
Active Sole ProprietorMR. DERRICK COBB, CASAC is a Substance Abuse Rehabilitation Facility healthcare provider located in WESTHAMPTON BEACH, New York. NPI 1205259892 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · WESTHAMPTON BEACH, NY
Registration Details
- NPI Number
- 1205259892
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2014 (12.566033594284 yrs)
- Last Updated
- Feb 2, 2014
- License
-
26043 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7 SEAFIELD LNWESTHAMPTON BEACH, NY, 119782714Browse NY providers · Browse ZIP 11978
- Phone
- 6312058044
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.