Individual provider · Type 1 NPI
Julisa Allison Derose, PA-C
Surgical Physician Assistant · Brooklyn, NY
NPI number
1275362006
Active
Practice location
506 6th St
Brooklyn, NY 11215-3609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 032597 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1275362006
Julisa Allison Derose, PA-C's National Provider Identifier is 1275362006, issued on Jul 30, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 7, 2024.