Derosa, Vincent A

Derosa, Vincent A is an sole proprietor health care provider with primary practice located at 2652 Widdy Bostwick Lane , Jamestown NY 14701-9111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Derosa, Vincent A can be contacted via phone (716) 483-0355.

Contact Information

Primary practice address
2652 Widdy Bostwick Lane Jamestown NY 14701-9111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 116552 New York

Profile Details

NPI number 1629395496
LBN Legal business name Derosa, Vincent A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2010
Last updated May 3rd, 2010 - about 16 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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