DEROSA ORTHOPEDIC SERVICES, PC
Medical Practice at Queens Blvd, Long Island City, NY

License number
New York 129321
Category
Medical Practice
Type
Sports Medicine
Owner
Name: DR. PATRICK DEROSA
Title: DOCTOR/OWNER
Phone: (718) 204-0414
Address
Address 2
4701 Queens Blvd, Long Island City, NY 11104
1101 Stewart Ave, Garden City, NY 11530
National Provider ID: 1245439215
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DEROSA ORTHOPEDIC SERVICES, PC

Garden City, NY

Industry:
Medical Doctor's Office
Doing business as:
DEROSA-VARRIALE ORTHOPEDIC SERVICES, PC
Registration:
Feb 23, 1988
Phone:
(516) 227-5366 (Phone)
Addresses:
825 E Gate Blvd, Garden City, NY 11530 (Physical)
1101 Stewart Ave, Garden City, NY 11530
State ID:
1237392
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Physician Assistant, Medical Doctors:
Patrickj Derosa Md, 825 E Gate Blvd, Garden City, NY 11530 (Physical),Patrick J. Derosa (Owner, Surgery-Orthopedic, Medical Doctor, President),Grace Lucchese (Office Manager),...
Agent:
Patrick J Derosa Md,825 E Gate Blvd, Garden City, NY 11530 (Physical)

Derosa Orthopedic Services, PC

4701 Queens Blvd, Long Island City, NY 11104

Status:
Inactive
Industry:
Services-Misc
Medical Doctor, Owner, Principal:
Patrick Derosa Medical Doctor, Owner, Principal, inactive

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