Organization
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELO R DEROSALIA MD (CEO)
(315) 458-3343
Entity
Organization
Contact information
Practice address
1226 E WATER ST, SYRACUSE, NY 13210-1155
(315) 478-2887
(315) 478-0840
Mailing address
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY 13088-7112
(315) 870-9370
(315) 558-6611
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02922109
—
NY
Enumeration date
06/28/2007
Last updated
07/25/2024
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