Individual
MR. ALFRED VINCENT DE ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4844 44TH ST, WOODSIDE, NY 11377-6937
(718) 784-2834
(718) 784-2868
Mailing address
4844 44 ST, WOODSIDE, NY 11377
(718) 784-2834
(718) 784-2868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
143876
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00816028
—
NY
Enumeration date
03/07/2007
Last updated
04/18/2012
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