Individual
DR. MICHAEL PETER DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
208 LAWRENCE AVE, LAWRENCE, NY 11559-1207
(516) 239-5405
Mailing address
208 LAWRENCE AVE, LAWRENCE, NY 11559-1207
(516) 239-5405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3982
NY
Other
Enumeration date
11/06/2006
Last updated
01/28/2013
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