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Organization

ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC

Active
Parent organization
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Other names
New Hartford Division - 2 Ellinwood
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
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1110
(315) 724-1012
(315) 724-5219
Mailing address
100 METROPOLITAN PARK DR., SUITE 100, LIVERPOOL, NY 13088-5842
(315) 870-9370
(315) 558-6611

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
09/29/2011
Last updated
07/15/2020
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