Individual
AMELIA DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-8138
Mailing address
29 MOREHOUSE PL, NEW PROVIDENCE, NJ 07974-2425
(646) 228-7236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
355481
NY
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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