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1013971985
MICHAEL JOSEPH DEROSA
NEW YORK, NY
NPI
1013971985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 30 303835)
Enumeration Date
2006-04-17
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JOSEPH DEROSA NP
423 E 23RD ST
NEW YORK, NY 10010-5011
Phone number: 212-686-7500
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Mailing Address
Mr. MICHAEL JOSEPH DEROSA NP
6260 82ND ST
MIDDLE VILLAGE, NY 11379-1427
Phone number: 212-686-7500
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