Individual
ADRIENNE DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8773
(718) 283-8796
Mailing address
PO BOX 283, BROOKLYN, NY 11220-0283
(718) 283-8773
(718) 283-8796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
315105
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02710227
—
NY
Enumeration date
11/07/2006
Last updated
05/11/2009
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