Kristen Derosso, M.S.

NPI #1154732634 in Central Valley, New York

Provider Information

NPI Number: 1154732634
Entity Type: Individual
Name: Kristen Derosso, M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.S.
Enumeration Date: May 19, 2014
Last Updated: May 19, 2014

Practice Location

Address: 255 ROUTE 32
City: Central Valley
State: New York
ZIP Code: 10917-3613
Phone: (845) 827-6227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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