DR. Michael Peter Derosa, DC

NPI #1386723559 in Lawrence, New York

Provider Information

NPI Number: 1386723559
Entity Type: Individual
Name: DR. Michael Peter Derosa, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Nov 6, 2006
Last Updated: Jan 28, 2013

Practice Location

Address: 208 LAWRENCE AVE
City: Lawrence
State: New York
ZIP Code: 11559-1207
Phone: (516) 239-5405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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