SearchNew York163W00000X

Angie Derosa

NPI 1831932383 · on the registry since 2024

Practice

Address
86 Woodycrest Dr
Farmingville, NY 11738
Phone
(631) 905-5273

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York