Derosas, Andrea L.

Derosas, Andrea L. is an individual health care provider with primary practice located at 400 Forest Ave , Buffalo NY 14213-1207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Derosas, Andrea L. can be contacted via phone (716) 816-2515.

Contact Information

Primary practice address
400 Forest Ave Buffalo NY 14213-1207
Phone: (716) 816-2515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223237 New York

Profile Details

NPI number 1588631485
LBN Legal business name Derosas, Andrea L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588631485 NPPES
New York Other 00025948403 UNIVERA
New York Other 000526772003 UNIVERA
New York Other 0411408 UNIVERA
New York MEDICAID 02282635 UNIVERA
New York Other 151079BJ UNIVERA

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