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Contact Information

NICHOLAS DEROSA
45 CROSSWAY E
BOHEMIA, NY11716-1204
 Phone: 631-218-4949
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for NICHOLAS DEROSA · (Male)

NPI Number 1740327204
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 013111-1
Hospital affiliation(s) Not Available
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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