Organization
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Active
Parent organization
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Authorized official
DR. ANGELO R. DEROSALIA MD (AUTHORIZED OFFICIAL)
(315) 458-3343
Entity
Organization
Contact information
Practice address
192 GENESEE ST, AUBURN, NY 13021-3361
(315) 258-5253
(315) 258-0202
Mailing address
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY 13088-5842
(315) 870-9370
(315) 870-9364
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
07/15/2020
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