# THOMAS J. LAROSA DC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821390048
- **Authorized official:** THOMAS J LAROSA DC (DIRECTOR)
- **Authorized official phone:** (845) 744-2244

## Contact information

- **Practice address:** 76 BONIFACE DR STE 2, PINE BUSH, NY 12566-4611
- **Practice address phone:** (845) 744-2244
- **Practice address fax:** (845) 744-6153
- **Mailing address:** PO BOX 1272, PINE BUSH, NY 12566-1272
- **Mailing address phone:** (845) 744-2244
- **Mailing address fax:** (845) 744-6153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | X04723-1 | NY | Yes |

## Other

- **Enumeration date:** 11/19/2010
- **Last updated:** 08/17/2022