Individual
DR. JOHN F DEROSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 MARION HOUSE DR, BOLTON LANDING, NY 12814
(518) 668-9080
(518) 668-2705
Mailing address
BOX 315, 18 MARION HOUSE DR, BOLTON LANDING, NY 12814
(518) 668-9080
(518) 668-2705
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
135664-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD8333611
BNDD
NY
Enumeration date
12/20/2010
Last updated
12/20/2010
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