Individual provider · Type 1 NPI
Michael Joseph Derosa, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1013971985
Active
Practice location
423 E 23rd St
New York, NY 10010-5011
Fax (212) 951-5444
Mailing address
6260 82nd St
Middle Village, NY 11379-1427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 30 303835 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1013971985
Michael Joseph Derosa, NP's National Provider Identifier is 1013971985, issued on Apr 17, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jul 13, 2026.