Derosa, Mary B.

Derosa, Mary B. is an individual health care provider with primary practice located at 70 Duboi Street St. Lukes Hospital, Newburgh NY 12550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Derosa, Mary B. can be contacted via phone (845) 561-4400.

Contact Information

Primary practice address
70 Duboi Street St. Lukes Hospital Newburgh NY 12550
Phone: (845) 561-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 400637 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 400637-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN357926L Pennsylvania

Profile Details

NPI number 1164447686
LBN Legal business name Derosa, Mary B.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Nov 8th, 2019 - about 5 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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