REGINALD DEROSENA

BROOKLYN, NY
NPI1598067217
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  006005)
Enumeration Date2010-12-01
Last Update Date2022-01-24
Business Address
REGINALD DEROSENA PA
825 BROADWAY
BROOKLYN, NY 11206-7306
Phone number: 718-302-9494
Mailing Address
REGINALD DEROSENA PA
2845 ARTHUR LN
WANTAGH, NY 11793-2331
Phone number: 516-410-3164
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