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Contact Information

JOHN P DEROSA, MD
5645 MAIN ST
FLUSHING, NY11355-5045
 Phone: 718-670-1594
 Fax: 718-670-1901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Radiology

2085N0904X
 

Radiation Oncology

2085R0203X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for JOHN P DEROSA · (Male)

NPI Number 1124081302
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 11/03/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 205939
  • NY Medicaid 01824991
Hospital affiliation(s)
  • NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - (Acute Care)
    56-45 MAIN STREET
    FLUSHING, NY 11355
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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