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Individual
ANTHONY DEROSA
Active
Individual
ANTHONY DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
010676
NY
Other
Enumeration date
10/11/2006
Last updated
02/26/2008
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