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
Phone: (518) 489-2666
Fax: (518) 489-5933
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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