Individual
ANGELO R. DEROSALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 W TAFT RD, SUITE 4D, LIVERPOOL, NY 13088-3807
(315) 458-6669
(315) 458-0819
Mailing address
1226 E WATER ST, SYRACUSE, NY 13210-1155
(315) 478-4185
(315) 478-0840
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
244397
NY
Other
Enumeration date
04/16/2008
Last updated
06/27/2012
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