De Rosa, Alfred Vincent

De Rosa, Alfred Vincent is an individual health care provider with primary practice located at 4844 44Th St , Woodside NY 11377-6937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. De Rosa, Alfred Vincent can be contacted via phone (718) 784-2834.

Contact Information

Primary practice address
4844 44Th St Woodside NY 11377-6937
Fax: (718) 784-2868
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 143876 New York

Profile Details

NPI number 1477683480
LBN Legal business name De Rosa, Alfred Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Apr 18th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477683480 NPPES
New York MEDICAID 00816028

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