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1588118707
GILEAD DEROSE
BRONX, NY
NPI
1588118707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019974)
Enumeration Date
2016-08-04
Last Update Date
2020-12-16
Business Address
GILEAD DEROSE PA-C
3424 KOSSUTH AVE
BRONX, NY 10467-2410
Phone number: 718-519-5000
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Mailing Address
GILEAD DEROSE PA-C
24103 133RD AVE
ROSEDALE, NY 11422-1414
Phone number: 845-863-7234
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