Individual
GUSTAVO DE LA ROZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-6751
(315) 464-6749
Mailing address
250 HARRISON ST, SUITE 502, SYRACUSE, NY 13202-3065
(315) 464-6751
(315) 464-6749
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
216982-1
NY
207ZP0101X
Anatomic Pathology Physician
216982-1
NY
Other
Enumeration date
08/18/2006
Last updated
09/11/2025
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