De La Roza, Gustavo

De La Roza, Gustavo is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. De La Roza, Gustavo can be contacted via phone (315) 464-6751.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2306
Phone: (315) 464-6751
Fax: (315) 464-6749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 216982-1 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 216982-1 New York

Profile Details

NPI number 1336253186
LBN Legal business name De La Roza, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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