Charles A La Rosa in Bay Shore - Vascular Surgery
Charles A La Rosa - NPI 1619900438
Charles A La Rosa is a Vascular Surgery in Bay Shore, New York. Charles A La Rosa practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Charles A La Rosa is 1619900438. The last update date is 2009-12-01.
Charles A La Rosa's current location address is 15 Park Ave, Bay Shore, New York. You can contact this provider via phone number 6315814400 and fax number 6312773750. The mailing address for Charles A La Rosa is 15 Park Ave, Bay Shore, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles A La Rosa |
|---|---|
| Address | 15 Park Ave, Bay Shore, New York |
| Phone Number | 6315814400 |
| Fax Number | 6312773750 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619900438 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2009-12-01 |
Provider Mailing Address Detail
| Address | 15 Park Ave |
|---|---|
| City | Bay Shore |
| State | New York (NY) |
| Post Code | 117067381 |
| Phone Number | 6315814400 |
| Fax Number | 6312773750 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 167344 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 167344 | NY | LICENSE | |
| 1480831 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles A La Rosa by the Centers for Medicare & Medicaid Services?
The Charles A La Rosa has been issued the NPI (National Provider Identifier) 1619900438, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Charles A La Rosa is located?
The Charles A La Rosa is situated at the following address: 15 Park Ave, Bay Shore, NY, 117067381.
What is Charles A La Rosa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles A La Rosa's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619900438 to Charles A La Rosa?
The Centers for Medicare & Medicaid Services assigned the 1619900438 to Charles A La Rosa on 2006-07-07.
As of what date were the details related to Charles A La Rosa most recently updated or revised?
The information pertaining to Charles A La Rosa, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-01.
NPI Number: 1972506228
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