Michael Joseph Derosa, NP
Nurse Practitioner, Adult Health in New York, NY. Individual provider (NPI-1).
NPI number1013971985
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1013971985
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Joseph Derosa
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 30 303835 | NY | Yes |
Practice location
423 E 23rd StNew York, NY 10010-5011
Phone 212-686-7500 · Fax 212-951-5444
Mailing address
6260 82nd StMiddle Village, NY 11379-1427
Phone 212-686-7500 · Fax 212-951-5444
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