Individual provider · Type 1 NPI

John P. Derosa, MD

Diagnostic Radiology Physician · Flushing, NY

NPI number 1124081302 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Call (718) 670-1594 Map

Fax (718) 670-1901

Mailing address

3211 Francis Lewis Blvd
Flushing, NY 11358-1922

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100X205939 (NY)
Neuroradiology Physician 2085N0700X205939 (NY)
Nuclear Radiology Physician 2085N0904X205939 (NY)
Diagnostic Radiology Physician Primary 2085R0202X205939 (NY)
Therapeutic Radiology Physician 2085R0203X205939 (NY)
Vascular & Interventional Radiology Physician 2085R0204X205939 (NY)
Diagnostic Ultrasound Physician 2085U0001X205939 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1124081302

John P. Derosa, MD's National Provider Identifier is 1124081302, issued on Apr 10, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Flushing, NY. The record was last updated on Nov 3, 2011.