Dr Juan De Rosas Physician Pc

LBN: Dr Juan De Rosas Physician Pc
Dr Juan De Rosas Physician Pc is an health care organization with primary practice located at 15 Elizabeth Dr , Lockport NY 14094-5226. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Dr Juan De Rosas Physician Pc can be contacted via phone (716) 434-8802, or through De Rosas, Juan F via phone (716) 434-8802.

Contact Information

Primary practice address
15 Elizabeth Dr Lockport NY 14094-5226
Fax: (716) 434-0093
Website:
Authorized official contact:
Name: De Rosas, Juan F Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 117428-1 New York

Profile Details

NPI number 1023016250
LBN Legal business name Dr Juan De Rosas Physician Pc
DBA Doing business as
Authorized official De Rosas, Juan F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Oct 23rd, 2007 - about 17 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 1023016250 NPPES
New York Other 1901248 INDEPENDENT HEALTH
New York Other 00506331001 INDEPENDENT HEALTH
New York MEDICAID 00616317 INDEPENDENT HEALTH

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