Derosa, Hope Lenore

Derosa, Hope Lenore is an individual health care provider with primary practice located at 1367 Washington Ave Suite 200, Albany NY 12206-1069. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Derosa, Hope Lenore can be contacted via phone (518) 489-2666.

Contact Information

Primary practice address
1367 Washington Ave Suite 200 Albany NY 12206-1069
Fax: (518) 489-5933
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0101471 New York

Profile Details

NPI number 1679566806
LBN Legal business name Derosa, Hope Lenore
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Mar 1st, 2013 - about 13 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 1679566806 NPPES
Other 000408386001 B SHIELD
Other 10091080 B SHIELD
Other 783860 B SHIELD
MEDICAID 02636675 B SHIELD

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