| Derik E Stucker, DDS | |
|
3360 Route 343, Hudson River Healthcare, Inc., Amenia, NY 12501-5619 | |
| (845) 838-7038 | |
| (845) 373-7021 |
| Full Name | Derik E Stucker |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 3360 Route 343, Amenia, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336314400 | NPI | - | NPPES |
| 03541646 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | TD-00-19 (New Mexico) | Secondary |
| 122300000X | Dentist | 054444 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derik E Stucker, DDS 1037 Main St, Hudson River Healthcare, Inc., Peekskill, NY 10566-2913 Ph: (914) 734-8800 | Derik E Stucker, DDS 3360 Route 343, Hudson River Healthcare, Inc., Amenia, NY 12501-5619 Ph: (845) 838-7038 |
Dr. Zhi Wei Cheung, DDS Dentist Medicare: Medicare Enrolled Practice Location: 66 Broadway, Amenia, NY 12501 Phone: 845-373-9022 | |
Dr. William J. Hayhurst, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 66 Broadway, Amenia, NY 12501 Phone: 845-373-9022 Fax: 845-373-8225 | |
Dr. Alexandra Cernasov, DDS Dentist Medicare: Medicare Enrolled Practice Location: 66 Broadway, Amenia, NY 12501 Phone: 845-373-9022 | |
Dr. Susanna Jacob, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 3360 Route 343, Amenia, NY 12501 Phone: 845-838-7038 |