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Individual
MS. MARIA A DEROSA
Active
Individual
MS. MARIA A DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
009407-1
NY
363A00000X
Physician Assistant
Primary
0094071
NY
Other
Enumeration date
08/11/2005
Last updated
03/15/2019
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