Mr. Michael Joseph Derosa
Nurse Practitioner - Adult Health
423 E 23rd St
New York
, New York 10010-5011
Mr. Michael Joseph Derosa
Nurse Practitioner - Adult Health
423 E 23rd St
New York
, New York 10010-5011
(212) 951-5444
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mr. Michael Joseph Derosa
- 6260 82nd St
- Middle Village, NY
- Zip : 11379-1427
- Fax : (212) 951-5444
- Phone : (212) 686-7500
Second Address
- Mr. Michael Joseph Derosa
- 423 E 23rd St
- New York, NY
- Zip : 10010-5011
- Fax : (212) 951-5444
- Phone : (212) 686-7500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 30 303835 | NY |
National Provider Identifier
| NPI | 1013971985 |
|---|---|
| Provider Name | Mr. Michael Joseph Derosa |
| First Address | Middle Village, NY 11379-1427 |
| Second Address | New York, NY 10010-5011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.