Derose, Joseph J

Derose, Joseph J is an individual health care provider with primary practice located at Mmc. Cardiothoracic Surgery 1575 Blondell Ave. Suite 125, Bronx NY 10461. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Derose, Joseph J can be contacted via phone (718) 920-4799.

Contact Information

Primary practice address
Mmc. Cardiothoracic Surgery 1575 Blondell Ave. Suite 125 Bronx NY 10461
Phone: (718) 920-4799
Fax: (718) 653-2237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2028061 New York
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2028061 New York

Profile Details

NPI number 1386629921
LBN Legal business name Derose, Joseph J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Nov 2nd, 2011 - about 14 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 1386629921 NPPES
New York MEDICAID 02149333

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