Individual
DR. VINCENT A DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2652 WIDDY BOSTWICK LANE, JAMESTOWN, NY 14701-9111
(716) 483-0355
Mailing address
2652 WIDDY BOSTICK RD, JAMESTOWN, NY 14701-9111
(716) 483-0355
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
116552
NY
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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