Michael Joseph Derosa in Middle Village - Adult Health
Michael Joseph Derosa - NPI 1013971985
Michael Joseph Derosa is a Adult Health in Middle Village, New York. Michael Joseph Derosa practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Michael Joseph Derosa is 1013971985. The last update date is 2007-07-08.
Michael Joseph Derosa's current location address is 6260 82nd St, Middle Village, New York. You can contact this provider via phone number 2126867500 and fax number 2129515444. The mailing address for Michael Joseph Derosa is 6260 82nd St, Middle Village, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Joseph Derosa |
|---|---|
| Address | 6260 82nd St, Middle Village, New York |
| Phone Number | 2126867500 |
| Fax Number | 2129515444 |
| Sole Proprietor | X |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1013971985 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6260 82nd St |
|---|---|
| City | Middle Village |
| State | New York (NY) |
| Post Code | 113791427 |
| Phone Number | 2126867500 |
| Fax Number | 2129515444 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 30 303835 |
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Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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What is the Michael Joseph Derosa's unique identification number?
The Michael Joseph Derosa has been assigned the NPI (National Provider Identifier) Number 1013971985 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Michael Joseph Derosa's facilities are situated?
The facilities of Michael Joseph Derosa are physically located at the following address: 6260 82Nd St, Middle Village, NY, 113791427.
What is the Michael Joseph Derosa's specialty and taxonomy code?
The Michael Joseph Derosa's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.
When was the Michael Joseph Derosa's 1013971985 issued?
The Michael Joseph Derosa's 1013971985 was issued on 2006-04-17.
When was the information regarding Michael Joseph Derosa most recently updated?
The details pertaining to the Michael Joseph Derosa, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1376546309
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