Vincent A Derosa, M.D. Valid NPI

Individual provider · Ophthalmology Physician · Jamestown, NY

NPI

1629395496

Type

Individual (Type 1)

Primary specialty

Ophthalmology Physician (Ophthalmology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207W00000X

License number

116552 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2010-05-03

Last updated

2010-05-03