Individual
DR. ALAN A DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3210 ROUTE 9W, SAUGERTIES, NY 12477-5237
(845) 246-9566
Mailing address
PO BOX 277, SAUGERTIES, NY 12477-0277
(845) 246-9566
(845) 246-8775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39360
NY
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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