Organization
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Active
Parent organization
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Authorized official
DR. ANGELO R. DEROSALIA MD (CEO)
(315) 458-3343
Entity
Organization
Contact information
Practice address
5700 W GENESEE ST, SUITE 105, CAMILLUS, NY 13031-3200
(315) 478-4185
(315) 478-0840
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
05/20/2013
Last updated
07/15/2020
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