Individual
KATHRYN DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W TREMONT AVE, BRONX, NY 10453-5436
(718) 583-9000
Mailing address
130 W TREMONT AVE, BRONX, NY 10453-5436
(718) 583-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
276093
MA
207Q00000X
Family Medicine Physician
Primary
314054
NY
Other
Enumeration date
06/14/2018
Last updated
07/29/2022
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