Individual
ANTHONY DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
333 ROUTE 25A, SUITE 240, ROCKY POINT, NY 11778-8556
(631) 821-5500
(631) 821-5580
Mailing address
333 ROUTE 25A, SUITE 240, ROCKY POINT, NY 11778-8556
(631) 821-5500
(631) 821-5580
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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