Derosa Orthopedic Services, Pc

LBN: Derosa Orthopedic Services, Pc
Derosa Orthopedic Services, Pc is an health care organization with primary practice located at 4701 Queens Blvd , Sunnyside NY 11104-1600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Derosa Orthopedic Services, Pc can be contacted via phone (718) 784-4747, or through Derosa, Patrick via phone (718) 204-0414.

Contact Information

Primary practice address
4701 Queens Blvd Sunnyside NY 11104-1600
Phone: (718) 784-4747
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Derosa, Patrick
Phone: (718) 204-0414

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 129321 New York

Profile Details

NPI number 1245439215
LBN Legal business name Derosa Orthopedic Services, Pc
DBA Doing business as
Authorized official Derosa, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated Dec 27th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245439215 NPPES
New York MEDICAID 00402355

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