John P Derosa is a Body Imaging in Flushing, New York. John P Derosa practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for John P Derosa is 1124081302. The last update date is 2011-11-03.
John P Derosa's current location address is 5645 Main St, Flushing, New York. You can contact this provider via phone number 7186701594 and fax number 7186701901. The mailing address for John P Derosa is 5645 Main St, Flushing, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John P Derosa |
|---|---|
| Address | 5645 Main St, Flushing, New York |
| Phone Number | 7186701594 |
| Fax Number | 7186701901 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124081302 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | 5645 Main St |
|---|---|
| City | Flushing |
| State | New York (NY) |
| Post Code | 113555045 |
| Phone Number | 7186701594 |
| Fax Number | 7186701901 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
| Licence No | 205939 |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1824991 | NY | -- |
Post Comment/ Review Below
What is the John P Derosa's unique identification number?
The John P Derosa has been assigned the NPI (National Provider Identifier) Number 1124081302 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of John P Derosa?
The John P Derosa is situated at 5645 Main St, in the city of Flushing, state of NY, with the zip code 113555045.
What is John P Derosa's area of expertise and its corresponding taxonomy classification?
The John P Derosa's field of specialization is Body Imaging, and it falls under the taxonomy code 2085B0100X, which categorizes healthcare providers based on their areas of practice.
When was the John P Derosa's 1124081302 issued?
The John P Derosa's 1124081302 was issued on 2006-04-10.
When was the information regarding John P Derosa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John P Derosa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-03.
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