| Doctor Name: | ANTHONY DEROSA |
| NPI Number: | 1285723189 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 010676 |
| Business Practice Address: | 333 Route 25a Suite 240 Rocky Point, NY - 117788556 |
| Business Phone Number: | 6318215500 |
| Business Fax Number: | 6318215580 |
| Mailing Address: | 333 Route 25a, Suite 240 ROCKY POINT |
| State: | NY |
| Postal Code: | 117788556 |
| Phone Number: | 6318215500 |
| Fax Number: | 6318215580 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 02/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 010676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |