MICHAEL DEROSA NP ADULT HEALTH PC

SMITHTOWN, NY
NPI1831817824
Entity TypeOrganization
Authorized ContactMICHAEL DEROSA
President
516-983-3452
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2022-08-16
Last Update Date2022-08-16
Business Address
MICHAEL DEROSA NP ADULT HEALTH PC
314 E MAIN ST
SMITHTOWN, NY 11787-2901
Phone number: 516-983-3452
Mailing Address
MICHAEL DEROSA NP ADULT HEALTH PC
4 BRASSWOOD RD
SAINT JAMES, NY 11780-3410
Phone number: