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1831817824
MICHAEL DEROSA NP ADULT HEALTH PC
SMITHTOWN, NY
NPI
1831817824
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Entity Type
Organization
Authorized Contact
MICHAEL DEROSA
President
516-983-3452
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
MICHAEL DEROSA NP ADULT HEALTH PC
314 E MAIN ST
SMITHTOWN, NY 11787-2901
Phone number: 516-983-3452
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Mailing Address
MICHAEL DEROSA NP ADULT HEALTH PC
4 BRASSWOOD RD
SAINT JAMES, NY 11780-3410
Phone number:
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