National Provider Identifier Database

CHARLES A LA ROSA, MD – NPI #1619900438
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

CHARLES A LA ROSA, MD
15 PARK AVE
BAY SHORE, NY11706-7381
Phone: 631-581-4400
Fax: 631-277-3750
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for CHARLES A LA ROSA

NPI Number 1619900438
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 12/01/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 167344
  • NY Medicaid: 01480831
  • NY Other: 167344 LICENSE
Hospital affiliation n/a

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.

Reviews for CHARLES A LA ROSA, MD

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