De La Rosa, Josephine

De La Rosa, Josephine is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke , East Meadow NY 11554-1859. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. De La Rosa, Josephine can be contacted via phone (516) 572-6511.

Contact Information

Primary practice address
2201 Hempstead Tpke East Meadow NY 11554-1859
Fax: (516) 572-3210
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 155100-1 New York

Profile Details

NPI number 1508828047
LBN Legal business name De La Rosa, Josephine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Apr 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508828047 NPPES
New York MEDICAID 01479818

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